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

NPI Status: Active since May 23, 2007

Contact Information

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

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Pediatrics
Neonatal-Perinatal Medicine
Accepts Insurance
PECOS Enrolled

About MOHANNAD MOALLEM

This page provides the complete NPI Profile along with additional information for Mohannad Moallem, a pediatrician established in Indianapolis, Indiana with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1003026501 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 3 years ago.

NPI: 1003026501
Provider Name: MOHANNAD MOALLEM M.D.
Gender: Male
Entity Type: Individual
Location Address: 705 RILEY HOSPITAL DR INDIANAPOLIS, IN 46202
Location Phone: (317) 274-4779
Location Fax: (317) 948-9806
Mailing Address: PO BOX 1026 INDIANAPOLIS, IN 46206
Mailing Phone: (317) 777-6435
Mailing Fax: (317) 948-9806
Is Sole Proprietor?: No
Enumeration Date: 05-23-2007
Last Update Date: 03-28-2022
Code Navigator

A pediatrician like Mohannad Moallem 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.

Location Map

Secondary Locations

7150 Clearvista Dr
Indianapolis, IN 46256
(317) 621-6262

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Pediatrics Neonatal-Perinatal Medicine
Taxonomy Code: 2080N0001X
Type: Allopathic & Osteopathic Physicians
License No.: 01086945A
License State: IN
Taxonomy Description: 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Aetna CVS Health

Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO

CareSource

Bronze First 7500 $25 Generic Drugs - HMO
Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
Gold 1500 $15 Generic Drugs - HMO
Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
HDHP Preventive Silver 5500 $0 Select Drugs - HMO
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
HSA Eligible Bronze 6000 - HMO
Low Premium Bronze 9200 $25 Generic Drugs - HMO
Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
Low Premium Silver 6000 $3 Generic Drugs - HMO
Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
Platinum Zero $5 Generic Drugs - HMO
Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO

Cigna Healthcare

Connect Bronze 3800 Indiv Med Deductible - EPO
Connect Bronze 7000 Indiv Med Deductible Enhanced Diabetes Care - EPO
Connect Bronze 8550 Indiv Med Deductible - EPO
Connect Bronze CMS Standard - EPO
Connect Gold CMS Standard - EPO
Connect Silver 3000 Indiv Med Deductible - EPO
Connect Silver 7000 Indiv Med Deductible - EPO
Connect Silver CMS Standard - EPO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

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

Medicare Participation & PECOS Enrollment Status

Mohannad Moallem is enrolled in PECOS and is eligible to order or refer health care 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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	0	0	3	0	2	6	5	0	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	0	3	0	2	12	5	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 2 + 1 + 2 + 5 + 0 + 24 = 39
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 39 = 1									1

The NPI number 1003026501 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

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

KATHLEEN M O'NEIL MD

Pediatrics

(Pediatric Rheumatology)

705 RILEY HOSPITAL DR
RR 307
INDIANAPOLIS, IN
ZIP 46202

About MOHANNAD MOALLEM

Location Map

Secondary Locations

Specialty - Primary Taxonomy

Pediatrics Neonatal-Perinatal Medicine

Insurance Plans Accepted

Additional Identifiers

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): Yes

Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for MOHANNAD MOALLEM M.D.

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions