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DR. INDIRA MOODUMANE MD
NPI 1639181340
Pediatrics in London, KY

Active since August 12, 2006PECOS Enrolled
809 MEYERS BAKER RD, SUITE 1, LONDON, KY 40741(606) 864-7337(606) 878-3257 Get Directions Write a Review

NPPES record last updated: October 23, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Indira Moodumane Md NPPES

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

DR. INDIRA MOODUMANE MD (NPI 1639181340) is an individual pediatrics provider in London, Kentucky, licensed in Kentucky (36054) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639181340
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. INDIRA MOODUMANECredential: MD
Location Address809 MEYERS BAKER RD, SUITE 1London, KY 40741-3025
Mailing AddressPo Box 689London, KY 40743-0689 · (606) 864-7337 · Fax (606) 878-3257
Phone(606) 864-7337
Fax(606) 878-3257
Sole ProprietorNo
Enumeration DateAugust 12, 2006
Last NPPES UpdateOctober 23, 2019
✔ NPI 1639181340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 36054
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedSpecialistTaxonomy 174400000X · License 36054 (KY)
809 MEYERS BAKER RD, London, KY 40741
Open in Google Maps ↗

Other Identifiers 1

Medicaid64039019KY

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Indira Moodumane 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.

Medicare Billing Reassignment

Medicare enrollment records show Indira Moodumane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grace Community Health Center, Inc.
9.9 mi
Federally Qualified Health Center (FQHC)
14662 N US HIGHWAY 25E
Corbin, KY 40701
  • Reassigned Medicare billing, Kentucky enrollment
  • 81 clinicians in this Medicare group
NPI 1568625648 (606) 526-9005

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40741 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES

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

PARKWAY PEDIATRICS PSC
Pediatrics
809 MEYERS BAKER RD, SUITE 1
LONDON, KY 40741
Laurel County (606) 864-7337

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 Indira Moodumane's NPI number?

The NPI number for Indira Moodumane is 1639181340. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Indira Moodumane located?

Indira Moodumane practices at 809 Meyers Baker Rd Suite 1, London, KY 40741. The listed phone number is (606) 864-7337.

What is Indira Moodumane's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Indira Moodumane enrolled in Medicare?

Yes. Indira Moodumane is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Indira Moodumane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Indira Moodumane reassigns Medicare benefits to Grace Community Health Center, Inc. (Corbin, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Indira Moodumane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Indira Moodumane accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Indira Moodumane as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Indira Moodumane was last updated on October 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.