MARYAM MASSOUMI MD
NPI 1194709022
Internal Medicine in Indianapolis, IN

Active since December 05, 2005PECOS EnrolledAccepts Medicare Assignment
2001 W 86TH ST, 3N MEDICAL EDUCATION, INDIANAPOLIS, IN 46260(317) 338-2172 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maryam Massoumi Md NPPES

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

MARYAM MASSOUMI MD (NPI 1194709022) is an individual internal medicine provider in Indianapolis, Indiana, licensed in Indiana (01046730A) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Hospital, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1194709022
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARYAM MASSOUMICredential: MD
Location Address2001 W 86TH ST, 3N MEDICAL EDUCATIONIndianapolis, IN 46260-1902
Mailing Address10330 N Meridian St, Suite 201Indianapolis, IN 46290-1024
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateDecember 5, 2005
Last NPPES UpdateAugust 21, 2024
NPPES CertifiedAugust 21, 2024
NPI 1194709022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IN · 01046730A
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2001 W 86TH ST, Indianapolis, IN 46260

Secondary Practice Location 1

Location 18414 Naab RdIndianapolis, IN 46260-1972 · Phone (317) 338-7510

Other Identifiers 1

Medicaid200160130IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Maryam Massoumi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870786502
PECOS Enrollment IDI20101026000561
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46260 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Student in an Organized Health Care Education/Training Program
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Anesthesiology
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Emergency Medicine
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Emergency Medicine
2001 W 86TH ST
INDIANAPOLIS, IN 46260
General Acute Care Hospital
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Student in an Organized Health Care Education/Training Program
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Pediatrics
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Nurse Practitioner
2001 W 86TH ST
INDIANAPOLIS, IN 46260

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 Maryam Massoumi's NPI number?

The NPI number for Maryam Massoumi is 1194709022. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Maryam Massoumi located?

Maryam Massoumi practices at 2001 W 86th St 3N Medical Education, Indianapolis, IN 46260. The listed phone number is (317) 338-2172.

What is Maryam Massoumi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Maryam Massoumi enrolled in Medicare?

Yes. Maryam Massoumi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Maryam Massoumi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Maryam Massoumi 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.

Is Maryam Massoumi affiliated with any hospitals?

According to CMS data, Maryam Massoumi is affiliated with Ascension St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Maryam Massoumi was last updated on August 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.