Active NPI
Diabetes Associates of Indiana P.C.
- Geriatric Medicine (Internal Medicine) Physician
- Indianapolis, IN
National Provider Identifier
1063130383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- DIABETES ASSOCIATES OF INDIANA P.C.
- Practice address
- 9526 Park Meridian Dr
Indianapolis, IN 46260-1331 - Phone
- (317) 652-9684
- NPI assigned
- Aug 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Moazzam Habib, MD
- Title
- Owner
- Phone
- (312) 262-6434
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | |||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | Primary |
Addresses
Primary practice location
9526 Park Meridian Dr
Indianapolis, IN 46260-1331
Mailing address
9526 Park Meridian Dr
Indianapolis, IN 46260-1331
Phone (312) 262-6434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100358590 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5404 Georgetown Rd
Indianapolis, IN 46254
Phone (317) 291-5404
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Indianapolis, IN
- NPI 1639270721
Single Specialty
-
- Gerontology Nurse Practitioner
- Crown Point, IN
- NPI 1174127492
-
- Nurse Practitioner
- Anderson, IN
- NPI 1063815439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764720000000",
"number": "1063130383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9526 PARK MERIDIAN DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601331",
"telephone_number": "312-262-6434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9526 PARK MERIDIAN DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601331",
"telephone_number": "317-652-9684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIABETES ASSOCIATES OF INDIANA P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-22",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A",
"authorized_official_last_name": "HABIB",
"authorized_official_first_name": "MOAZZAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-262-6434",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100358590",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.