ELIAN MASSOUD MD
NPI 1215679642
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 07, 2022PECOS Enrolled
545 BARNHILL DRIVE, EMERSON HALL 125, INDIANAPOLIS, IN 46202(317) 274-4966 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Elian Massoud Md NPPES

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

ELIAN MASSOUD MD (NPI 1215679642) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215679642
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameELIAN MASSOUDCredential: MD
Location Address545 BARNHILL DRIVE, EMERSON HALL 125Indianapolis, IN 46202-5112
Mailing Address545 Barnhill Drive, Emerson Hall 125Indianapolis, IN 46202-5112 · (317) 274-4966
Sole ProprietorNo
Enumeration DateApril 7, 2022
NPPES CertifiedApril 7, 2022
NPI 1215679642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

545 BARNHILL DRIVE, Indianapolis, IN 46202

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Elian Massoud Md 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.

Other Providers at the Same Location NPPES 18

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

Surgery
545 BARNHILL DRIVE, EH 5TH FLOOR UNIVERSITY SURGEONS, INC
INDIANAPOLIS, IN 46202
Surgery
545 BARNHILL DRIVE, EH 523
INDIANAPOLIS, IN 46202
Surgery
545 BARNHILL DRIVE, EH 523
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
545 BARNHILL DRIVE, EMERSON HALL # 215
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
545 BARNHILL DRIVE, EMERSON HALL 125
INDIANAPOLIS, IN 46202
Dermatology (MOHS-Micrographic Surgery)
545 BARNHILL DRIVE, EMERSON HALL 139
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
545 BARNHILL DRIVE, EMERSON HALL 215
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
545 BARNHILL DRIVE, EMERSON HALL 305
INDIANAPOLIS, IN 46202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215679642, enumerated as an "individual" on April 07, 2022.

The provider is located at 545 BARNHILL DRIVE EMERSON HALL 125 INDIANAPOLIS, IN 46202 and the phone number is (317) 274-4966.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.