JORGE MOISES GONZALES CORDOVA MD
NPI 1649830415
Pediatrics - Pediatric Pulmonology in Indianapolis, IN

Q: What is Jorge Gonzales Cordova's NPI number?

The NPI number for Jorge Gonzales Cordova is 1649830415. It was assigned to this individual provider in the NPPES registry on June 14, 2019.

Q: What is Jorge Gonzales Cordova's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Active since June 14, 2019PECOS EnrolledAccepts Medicare Assignment

705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 948-7208(317) 944-7247 Get Directions Write a Review

NPPES record last updated: February 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2025, May 14, 2025, Jun 14, 2019 (3 updates tracked since 2019).

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About Jorge Moises Gonzales Cordova Md NPPES

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

JORGE MOISES GONZALES CORDOVA MD (NPI 1649830415) is an individual pediatric pulmonology provider in Indianapolis, Indiana, licensed in Indiana (01088470A) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1649830415

Entity TypeIndividualMale

Primary Taxonomy2080P0214X

Provider Legal NameJORGE MOISES GONZALES CORDOVACredential: MD

Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109

Mailing AddressPo Box 719094Chicago, IL 60677-9318 · (317) 777-6435 · Fax (317) 777-6644

Phone(317) 948-7208

Fax(317) 944-7247

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 14, 2019

Last NPPES UpdateFebruary 14, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 14, 2026

✔ NPI 1649830415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0214X

License✔ Licensed in IN · 01088470A

Definition

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Other Identifiers 1

Medicaid300097103IN

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

Jorge Moises Gonzales Cordova Md 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 ID2062746787

PECOS Enrollment IDI20251015003919

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 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)