ERICA R MASTOROUDIS MD
NPI 1912648031
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 05, 2022PECOS Enrolled
545 BARNHILL DR, INDIANAPOLIS, IN 46202(317) 274-7436(317) 274-8769 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Erica R Mastoroudis Md NPPES

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

ERICA R MASTOROUDIS MD (NPI 1912648031) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912648031
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameERICA R MASTOROUDISCredential: MD
Location Address545 BARNHILL DRIndianapolis, IN 46202-5112
Mailing Address545 Barnhill DrIndianapolis, IN 46202-5112 · (317) 274-7436 · Fax (317) 274-8769
Fax(317) 274-8769
Sole ProprietorNo
Enumeration DateApril 5, 2022
NPPES CertifiedApril 4, 2022
NPI 1912648031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
545 BARNHILL DR, Indianapolis, IN 46202

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Erica R Mastoroudis 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.

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.

Internal Medicine
545 BARNHILL DR
INDIANAPOLIS, IN 46202
Surgery (Plastic and Reconstructive Surgery)
545 BARNHILL DR, EH 232
INDIANAPOLIS, IN 46202
Nurse Practitioner
545 BARNHILL DR, EH 203
INDIANAPOLIS, IN 46202
Dermatology
545 BARNHILL DR, EH 139
INDIANAPOLIS, IN 46202
Specialist
545 BARNHILL DR, SUITE #139
INDIANAPOLIS, IN 46202
Surgery (Plastic and Reconstructive Surgery)
545 BARNHILL DR, EH 232
INDIANAPOLIS, IN 46202
Plastic Surgery
545 BARNHILL DR, SUITE 202 EMERSON HALL
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
545 BARNHILL DR
INDIANAPOLIS, IN 46202

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 Erica Mastoroudis's NPI number?

The NPI number for Erica Mastoroudis is 1912648031. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Erica Mastoroudis located?

Erica Mastoroudis practices at 545 Barnhill Dr, Indianapolis, IN 46202. The listed phone number is (317) 274-7436.

What is Erica Mastoroudis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Erica Mastoroudis enrolled in Medicare?

Yes. Erica Mastoroudis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Erica Mastoroudis was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.