1. Home
  2. Directory
  3. Indiana
  4. Polis
  5. Pediatrics
  6. NPI Profile

MOHANNAD MOALLEM M.D.
NPI 1003026501
Pediatrics - Neonatal-Perinatal Medicine in Indianapolis, IN

Active since May 23, 2007PECOS Enrolled
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 274-4779(317) 948-9806 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 6, 2026, Jan 3, 2022, Dec 16, 2021 and 2 more (5 updates tracked since 2016).

About Mohannad Moallem M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOHANNAD MOALLEM M.D. (NPI 1003026501) is an individual neonatal-perinatal medicine provider in Indianapolis, Indiana, licensed in Indiana (01086945A) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1003026501
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameMOHANNAD MOALLEMCredential: M.D.
Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109
Mailing AddressPo Box 719094Chicago, IL 60677-9318 · (317) 777-6435 · Fax (317) 777-6644
Phone(317) 274-4779
Fax(317) 948-9806
Sole ProprietorNo
Enumeration DateMay 23, 2007
Last NPPES UpdateMarch 6, 20265 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1003026501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in IN · 01086945A
Definition
A 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.
705 RILEY HOSPITAL DR, Indianapolis, IN 46202
Open in Google Maps ↗

Secondary Practice Location 1

Location 17150 Clearvista DrIndianapolis, IN 46256-1695 · Phone (317) 621-6262

Other Identifiers 2

Medicaid300057674IN
Medicaid0050048OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohannad Moallem M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Mohannad Moallem reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iu Health Medical Group Riley Specialists, LLC
Same address
Pediatrics
705 RILEY HOSPITAL DR
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 523 clinicians in this Medicare group
NPI 1699561480 (317) 944-5000
Community Physicians Of Indiana Inc
10 mi
Family Medicine
7240 SHADELAND STATION, SUITE 300
Indianapolis, IN 46256
  • Reassigned Medicare billing, Indiana enrollment
  • 2,087 clinicians in this Medicare group
NPI 1619105244 (317) 355-5555
Pediatric Academic Association, Inc.
171 mi
Pediatrics
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 1,246 clinicians in this Medicare group
NPI 1063419943 (614) 722-4579

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIA IMHOFF MCGEE FNP-BC
Nurse Practitioner (Family)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 312-2204
JOSHUA WAYNE GOLLUB
Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-4779
NOAH MENAKER DDS
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 944-3865
DR. ANAS NADER ATA ALJABARI MBBS
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (856) 398-9630
TALIA RAE BOOHER MB BCH BAO
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 944-7571
JANET R SHAVER NP
Nurse Practitioner (Pediatrics)
705 RILEY HOSPITAL DR, RI 1601
INDIANAPOLIS, IN 46202
Marion County (317) 944-4842
UNIVERSITY PEDIATRIC DENTISTRY ASSOCIATES
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR, ROC - SUITE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 944-9604
DR. LESLIE ANNE ENANE M.D.
Pediatrics (Pediatric Infectious Diseases)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 944-7260

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mohannad Moallem's NPI number?

The NPI number for Mohannad Moallem is 1003026501. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Mohannad Moallem located?

Mohannad Moallem practices at 705 Riley Hospital Dr, Indianapolis, IN 46202. The listed phone number is (317) 274-4779.

What is Mohannad Moallem's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Mohannad Moallem enrolled in Medicare?

Yes. Mohannad Moallem is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mohannad Moallem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohannad Moallem reassigns Medicare benefits to 3 organizations: Iu Health Medical Group Riley Specialists, LLC (Indianapolis, IN), Community Physicians Of Indiana Inc (Indianapolis, IN) and Pediatric Academic Association, Inc. (Columbus, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mohannad Moallem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohannad Moallem accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Cigna Healthcare list Mohannad Moallem as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mohannad Moallem was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.