Individual provider Active NPI

Manognya Muttineni, MD

  • Nephrology Physician
  • Indianapolis, IN
National Provider Identifier
1023490208
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
01080591A Issued in IN
Practice address
9011 N Meridian St Ste 225
Indianapolis, IN 46260-5365
Phone
(317) 574-4747
NPI assigned
Jun 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 01080591A IN Primary

Addresses

Primary practice location

9011 N Meridian St Ste 225
Indianapolis, IN 46260-5365

Mailing address

9011 N Meridian St Ste 225
Indianapolis, IN 46260-5365
Phone (317) 574-4747

Other practice location 1

8330 Naab Rd Ste 234
Indianapolis, IN 46260-1932
Phone (317) 875-0084

Other practice location 2

9240 N Meridian St Ste 140
Indianapolis, IN 46260-2368
Phone (317) 875-0084

Other identifiers 1

IdentifierTypeStateIssuer
300015838MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200608002932 IN Practitioner - Internal Medicine 6901119908 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Indiana Nephrology and Internal Medicine PCGroup PAC ID 2769389550, 35 clinicians

Practice addresses (Care Compare)

9240 N Meridian St
Suite 140
Indianapolis, IN 46260-2368
Phone (317) 574-4747

Hospital & facility affiliations

  • FMC - Indianapolis-West Dialysis facility, Indianapolis, IN, CCN 152531
  • FMC - Fishers Dialysis Dialysis facility, Fishers, IN, CCN 152654
  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084
  • St Vincent Heart Center Hospital, Carmel, IN, CCN 150153
  • Witham Health Services Hospital, Lebanon, IN, CCN 150104
  • Ascension St Vincent Carmel Hospital, Carmel, IN, CCN 150157
  • Riverview Health Hospital, Noblesville, IN, CCN 150059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01080591AINMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Family Physicians, Inc. Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Jul 1, 2020 Accepting new patients
Indiana Nephrology and Internal Medicine, P.C. Nephrology CurrentSince Apr 29, 2024 Accepting new patients
University Family Physicians, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Major Hospital Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

7216 Solutions Ctr
Chicago, IL 60677

1051 N State St
Greenfield, IN 46140
Phone (317) 353-8985

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

550 University Blvd
#3005
Indianapolis, IN 46202
Phone (317) 944-2167

9011 N Meridian St
Ste 225
Indianapolis, IN 46260
Phone (317) 574-4747

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

8330 Naab Rd
Ste 234
Indianapolis, IN 46260
Phone (317) 875-0084

9240 N Meridian St
Ste 140
Indianapolis, IN 46260
Phone (317) 343-2056

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

2485 N Lebanon St
Lebanon, IN 46052
Phone (765) 482-4098

Interoperability endpoints

  • Direct secure messaging: mmuttineni65075@direct.acumenmd.com
  • Direct secure messaging: mmuttineni@direct.iuhealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1023490208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9011 N MERIDIAN ST STE 225",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605365",
            "telephone_number": "317-574-4747",
            "fax_number": "317-574-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9011 N MERIDIAN ST STE 225",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605365",
            "telephone_number": "317-574-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8330 Naab Rd Ste 234",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462601932",
            "country_code": "US",
            "telephone_number": "317-875-0084",
            "fax_number": "317-876-8850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9240 N Meridian St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462602368",
            "country_code": "US",
            "telephone_number": "317-875-0084",
            "fax_number": "317-876-5580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUTTINENI",
        "first_name": "MANOGNYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01080591A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300015838",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.