DR. AMBRIA MOTEN M.D.
NPI 1558773408
Surgery - Surgical Oncology in Fort Wayne, IN

Q: What is Ambria Moten's NPI number?

The NPI number for Ambria Moten is 1558773408. It was assigned to this individual provider in the NPPES registry on May 27, 2014.

Q: What is Ambria Moten's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Q: When was this NPI record last updated?

The NPPES record for Ambria Moten was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since May 27, 2014PECOS EnrolledAccepts Medicare Assignment

11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845(833) 274-8326(260) 266-7935 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2023, Aug 24, 2023, Jul 10, 2023 (3 updates tracked since 2023).

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About Dr. Ambria Moten M.d. NPPES

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

DR. AMBRIA MOTEN M.D. (NPI 1558773408) is an individual surgical oncology provider in Fort Wayne, Indiana, licensed in Indiana (01090665A) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1558773408

Entity TypeIndividualFemale

Primary Taxonomy2086X0206X

Provider Legal NameDR. AMBRIA MOTENCredential: M.D.

Location Address11050 PARKVIEW CIRCLE DRFort Wayne, IN 46845-1739

Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701

Phone(833) 274-8326

Fax(260) 266-7935

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMay 27, 2014

Last NPPES UpdateOctober 2, 20233 updates tracked since enumeration

NPPES CertifiedOctober 2, 2023

✔ NPI 1558773408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2086X0206X

License✔ Licensed in IN · 01090665A

Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Also ListedSurgeryTaxonomy 208600000X · License MT206256 (PA)

11050 PARKVIEW CIRCLE DR, Fort Wayne, IN 46845

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Ambria Moten M.d. 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 ID2567756901

PECOS Enrollment IDI20230825000357

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 3

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150021

Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County

Emergency services Birthing friendly

Parkview Noble Hospital

Acute Care Hospitals · Kendallville, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150146

Location401 Sawyer RdKendallville, IN 46755 · Noble County

Emergency services Birthing friendly

Parkview Wabash Hospital, Inc

Critical Access Hospitals · Wabash, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number151310

Location10 John Kissinger DriveWabash, IN 46992 · Wabash County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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

$161.76 typical visit price

range $53.07 – $161.76

Typical copayment $40.44 (range $13.26 – $40.44)

Most-billed visit code 99205

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

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.

JESSICA NICOLE HEFFNER

Registered Nurse (Oncology)