Jonathan D Moulder, MD - Medicare Family Practice in Indianapolis, IN

Jonathan D Moulder, MD is a medicare enrolled "Family Medicine" physician in Indianapolis, Indiana. He went to Indiana University School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice University Family Physicians, Inc. and his current practice location is 1040 Wishard Blvd, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 962-8893.

Jonathan D Moulder is licensed to practice in Indiana (license number 01075524A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1831459890.

Contact Information

Jonathan D Moulder, MD
1040 Wishard Blvd,
Indianapolis, IN 46202-2872
(317) 962-8893
(317) 962-6722

Map and Direction




Physician's Profile

Full NameJonathan D Moulder
GenderMale
SpecialityFamily Practice
Experience12 Years
Location1040 Wishard Blvd, Indianapolis, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jonathan D Moulder attended and graduated from Indiana University School Of Medicine in 2012
  NPI Data:
  • NPI Number: 1831459890
  • Provider Enumeration Date: 05/24/2012
  • Last Update Date: 06/23/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4082850557
  • Enrollment ID: I20150706001828

Medical Identifiers

Medical identifiers for Jonathan D Moulder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831459890NPI-NPPES
201093200MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01075524A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Indiana University HealthIndianapolis, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Family Physicians, Inc.7911992797424

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jonathan D Moulder allows following entities to bill medicare on his behalf.
Entity NameUniversity Family Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043275787
PECOS PAC ID: 7911992797
Enrollment ID: O20040420000393
Entity NameIndiana University Health Care Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902032832
PECOS PAC ID: 5799755864
Enrollment ID: O20040727000955
Entity NameWindrose Health Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568404226
PECOS PAC ID: 8426965039
Enrollment ID: O20041018000851

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan D Moulder is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jonathan D Moulder, MD
1040 Wishard Blvd,
Indianapolis, IN 46202-2872

Ph: (317) 962-8893
Jonathan D Moulder, MD
1040 Wishard Blvd,
Indianapolis, IN 46202-2872

Ph: (317) 962-8893

Reviews and Comments


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Ruben Hernan Hernandez Mondragon, MD
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Practice Location: 1040 Wishard Blvd, Indianapolis, IN 46202
Phone: 317-962-8893    Fax: 317-962-2990

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.