Mohannad Moallem, MD in Indianapolis, IN

Mohannad Moallem, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Indianapolis, Indiana. His current practice location is 705 Riley Hospital Dr, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 274-4779.

Mohannad Moallem is licensed to practice in Indiana (license number 01086945A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003026501.

Contact Information

	Mohannad Moallem, MD
	705 Riley Hospital Dr, Indianapolis, IN 46202-5109
	(317) 274-4779
	(317) 948-9806

Map and Direction

Physician's Profile

Full Name	Mohannad Moallem
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	705 Riley Hospital Dr, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003026501
Provider Enumeration Date: 05/23/2007
Last Update Date: 03/28/2022

Medicare PECOS Information:

PECOS PAC ID: 2860661527
Enrollment ID: I20110815000288

Medical Identifiers

Medical identifiers for Mohannad Moallem such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003026501	NPI	-	NPPES
300057674	Medicaid	IN
0050048	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	01086945A (Indiana)	Primary

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. Mohannad Moallem allows following entities to bill medicare on his behalf.

Entity Name	Pediatric Academic Association, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198

Entity Name	Blanchard Valley Regional Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083665251 PECOS PAC ID: 3971404187 Enrollment ID: O20040120000179

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. Mohannad Moallem 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 Address	Practice Location Address
Mohannad Moallem, MD Po Box 1026, Indianapolis, IN 46206-1026 Ph: (317) 777-6435	Mohannad Moallem, MD 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 Ph: (317) 274-4779

Reviews and Comments

Pediatrics Doctors in Indianapolis, IN

Tracey Wilkinson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 705 Riley Hospital Dr Ste 1300, Indianapolis, IN 46202 Phone: 317-962-8067
Samuel J Flanders, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 250 N Shadeland Ave, Ste 200, Indianapolis, IN 46219 Phone: 317-962-4836 Fax: 317-962-8646
Mark H Hoyer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 705 Riley Hospital Dr, Rr 127, Indianapolis, IN 46202 Phone: 317-274-8906 Fax: 317-274-4022
Dr. Alka Khaitan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr Rr230, Indianapolis, IN 46202 Phone: 317-944-7260
Dr. Leslie Anne Enane, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-944-7260 Fax: 317-948-0860
Christine Nix, Pediatrics Medicare: Medicare Enrolled Practice Location: 750 Riley Hospital Drive, Room 5867, Indianapolis, IN 46202 Phone: 317-944-4034

Mohannad Moallem, MD - Medicare Pediatrics in Indianapolis, IN