MOHANNAD MOALLEM M.D. NPI 1003026501

Pediatrics (Neonatal-Perinatal Medicine) in Indianapolis, IN

NPI 1003026501 Individual Male Pediatrics Neonatal-Perinatal Medicine PECOS Enrolled

About MOHANNAD MOALLEM

Mohannad Moallem is a pediatrician established in Indianapolis, Indiana and his medical specialization is pediatrics (neonatal-perinatal medicine) . The NPI number of Mohannad Moallem is 1003026501 and was assigned on May 2007. The practitioner's primary taxonomy code is 2080N0001X with license number 01086945A (IN). The provider is registered as an individual and his NPI record was last updated January 2022.

A pediatrician like Mohannad Moallem M.d. is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Mohannad Moallem is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Mohannad Moallem is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003026501

Provider Name MOHANNAD MOALLEM M.D.
Provider Location Address705 RILEY HOSPITAL DR INDIANAPOLIS, IN 46202
Provider Mailing AddressPO BOX 1026 INDIANAPOLIS, IN 46206
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-23-2007
Last Update Date01-03-2022


Primary Taxonomy

Taxonomy Code2080N0001X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
SpecializationNeonatal-Perinatal Medicine
License No.01086945A
License StateIN
Taxonomy DescriptionA pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Business Address

MOHANNAD MOALLEM M.D.
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 274-4779
Fax: (317) 948-9806

Get Directions


Mailing Address

MOHANNAD MOALLEM M.D.
PO BOX 1026
INDIANAPOLIS, IN
ZIP 46206
Phone: (317) 777-6435
Fax: (317) 777-6644



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
300057674MEDICAID (05)IN
0050048MEDICAID (05)OH

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306815402 KATHLEEN M O'NEIL MD
Individual
Pediatrics (Pediatric Rheumatology)705 RILEY HOSPITAL DR RR 307
INDIANAPOLIS, IN 46202
(317) 274-2172
1245295690 DAVID C DELGADO M.D.
Individual
Pediatrics (Pediatric Hematology-Oncology)705 RILEY HOSPITAL DR ROC 4340
INDIANAPOLIS, IN 46202
(317) 944-5552
1255389334 DONALD P ORR MD
Individual
Pediatrics (Adolescent Medicine)705 RILEY HOSPITAL DR MSA 2
INDIANAPOLIS, IN 46202
(317) 274-8812
1700835253 GREGORY A WILSON MD
Individual
Pediatrics705 RILEY HOSPITAL DR RI 1601
INDIANAPOLIS, IN 46202
(317) 944-4842
1952355398 DOUGLAS J GAEBLER LCSW
Individual
Social Worker705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
(317) 944-2066
1922049790 CHRISTINE M RACHES PSY.D.
Individual
Psychologist (Clinical Child & Adolescent)705 RILEY HOSPITAL DR RI 5837
INDIANAPOLIS, IN 46202
(317) 944-8167
1760413991 STEVEN J STEINER MD
Individual
Pediatrics (Pediatric Gastroenterology)705 RILEY HOSPITAL DR ROC 4210
INDIANAPOLIS, IN 46202
(317) 944-3774
1275567729 JAMES D ULM M.D.
Individual
Otolaryngology705 RILEY HOSPITAL DR SUITE 0860
INDIANAPOLIS, IN 46202
(317) 948-3226
1366457830 LUCILLE ANN PAPILE MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)705 RILEY HOSPITAL DR RR 208
INDIANAPOLIS, IN 46202
(317) 274-4715
1295743086 BENJAMIN D BAUER MD
Individual
Pediatrics705 RILEY HOSPITAL DR STE 1721
INDIANAPOLIS, IN 46202
(317) 962-8067
1154331601 HEIDI S NEUBURGER
Individual
Audiologist (Assistive Technology Practitioner)705 RILEY HOSPITAL DR 0860
INDIANAPOLIS, IN 46202
(317) 948-5818
1992715452GENERAL OTORHINOLARYNGOLOGICAL FOUNDATION, INC.
Organization
Otolaryngology705 RILEY HOSPITAL DR 0860
INDIANAPOLIS, IN 46202
(317) 630-8970
1871600668 JULIE K KECK MD
Individual
Pediatrics (Developmental - Behavioral Pediatrics)705 RILEY HOSPITAL DR RI 1601
INDIANAPOLIS, IN 46202
(317) 274-4842
1619085602 ROGER A HURWITZ MD
Individual
Pediatrics (Pediatric Cardiology)705 RILEY HOSPITAL DR RR 127
INDIANAPOLIS, IN 46202
(317) 274-8906
1871602995 HOWARD EIGEN MD
Individual
Pediatrics (Pediatric Critical Care Medicine)705 RILEY HOSPITAL DR RI 2117
INDIANAPOLIS, IN 46202
(317) 274-7208
1396854345 WILLIAM MA MD
Individual
Pediatrics (Pediatric Critical Care Medicine)705 RILEY HOSPITAL DR ROC 4270
INDIANAPOLIS, IN 46202
(317) 278-7738
1184734527 JAMES S HILL MD
Individual
Pediatrics (Pediatric Hematology-Oncology)705 RILEY HOSPITAL DR ROC 4340
INDIANAPOLIS, IN 46202
(317) 944-5611
1932219375 PAUL R HAUT MD
Individual
Pediatrics (Pediatric Hematology-Oncology)705 RILEY HOSPITAL DR ROC 4340
INDIANAPOLIS, IN 46202
(317) 944-5552
1710097142 ROBERT J FALLON MD, PHD
Individual
Pediatrics (Pediatric Hematology-Oncology)705 RILEY HOSPITAL DR ROC 4340
INDIANAPOLIS, IN 46202
(317) 944-5611
1134223647 MARTIN B KLEIMAN MD
Individual
Pediatrics (Pediatric Infectious Diseases)705 RILEY HOSPITAL DR ROC 4380
INDIANAPOLIS, IN 46202
(317) 944-7260

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.