MOLLIE M ATHA NP
NPI 1619697000
Nurse Practitioner - Pediatrics in Indianapolis, IN

Q: What is Mollie Atha's NPI number?

The NPI number for Mollie Atha is 1619697000. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Q: What is Mollie Atha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Mollie Atha was last updated on April 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 29, 2022PECOS Enrolled

705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 274-4779 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2026, Nov 5, 2025, Oct 8, 2025 and 2 more (5 updates tracked since 2022).

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About Mollie M Atha Np NPPES

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

MOLLIE M ATHA NP (NPI 1619697000) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Indiana (71014652A) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1619697000

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMOLLIE M ATHACredential: NP

Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109

Mailing Address705 Riley Hospital DrIndianapolis, IN 46202-5109

Phone(317) 274-4779

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 29, 2022

Last NPPES UpdateApril 3, 20265 updates tracked since enumeration

NPPES CertifiedApril 3, 2026

✔ NPI 1619697000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Licenses✔ Licensed in IN · 71014652A✔ Licensed in IN · 28251850A

Also ListedRegistered NurseTaxonomy 163W00000X · License 28251850A (IN)

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Secondary Practice Locations 3

Location 15801 E 30th StIndianapolis, IN 46218-3315 · Phone (317) 291-7422

Location 2702 Barnhill DrIndianapolis, IN 46202-5128 · Phone (317) 944-7010

Location 33400 Lafayette Rd Ste 200Indianapolis, IN 46222-1147 · Phone (317) 291-7422

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mollie M Atha Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688165202

PECOS Enrollment IDI20251112000529

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.

Physician 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.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

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.

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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.

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)