INNKYU MOON PA-C
NPI 1326774050
Physician Assistant in Indianapolis, IN
About Innkyu Moon Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INNKYU MOON PA-C (NPI 1326774050) is an individual physician assistant in Indianapolis, Indiana, licensed in Indiana (10005244A) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Innkyu Moon Pa-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mount Sinai Hospital
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Innkyu Moon's NPI number?
The NPI number for Innkyu Moon is 1326774050. It was assigned to this individual provider in the NPPES registry on July 26, 2022.
Where is Innkyu Moon located?
Innkyu Moon practices at 1701 Senate Blvd, Indianapolis, IN 46202. The listed phone number is (888) 484-3258.
What is Innkyu Moon's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Innkyu Moon enrolled in Medicare?
Yes. Innkyu Moon 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.
Is Innkyu Moon affiliated with any hospitals?
According to CMS data, Innkyu Moon is affiliated with Mount Sinai Hospital.
When was this NPI record last updated?
The NPPES record for Innkyu Moon was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Innkyu Moon, PA-C · NPI 1326774050
Physician Assistant physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since July 26, 2022.
## Identity
- **NPI:** 1326774050 (Entity type: Individual)
- **Enumerated:** July 26, 2022
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 10005244A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1701 SENATE BLVD, Indianapolis, IN 46202-1239
- **Phone:** (888) 484-3258
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 2, 2026
- **Other identifiers:** Other 1104362029 (IN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1326774050) · Data from the CMS NPPES public registry.