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DR. MAHNOUSH MOMENI MD
NPI 1255215687
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since July 31, 2025PECOS Enrolled
720 ESKENAZI AVE FL 4, INDIANAPOLIS, IN 46202(317) 870-0000 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 31, 2026, Jul 13, 2026, Jul 6, 2026 (3 updates tracked since 2026).

About Dr. Mahnoush Momeni Md NPPES

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

DR. MAHNOUSH MOMENI MD (NPI 1255215687) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255215687
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MAHNOUSH MOMENICredential: MD
Location Address720 ESKENAZI AVE FL 4Indianapolis, IN 46202-5189
Mailing Address545 Barnhill DrIndianapolis, IN 46202-5112 · (317) 284-8282
Phone(317) 870-0000
Sole ProprietorNo
Enumeration DateJuly 31, 2025
Last NPPES UpdateJuly 31, 20263 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1255215687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
720 ESKENAZI AVE FL 4, Indianapolis, IN 46202
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mahnoush Momeni 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

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

DR. LEIGH JENNA SPERA M.D.
Surgery (Plastic and Reconstructive Surgery)
720 ESKENAZI AVE FL 4
INDIANAPOLIS, IN 46202
Marion County (317) 880-0000

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 Mahnoush Momeni's NPI number?

The NPI number for Mahnoush Momeni is 1255215687. It was assigned to this individual provider in the NPPES registry on July 31, 2025.

Where is Mahnoush Momeni located?

Mahnoush Momeni practices at 720 Eskenazi Ave Fl 4, Indianapolis, IN 46202. The listed phone number is (317) 870-0000.

What is Mahnoush Momeni's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mahnoush Momeni enrolled in Medicare?

Yes. Mahnoush Momeni is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mahnoush Momeni was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.