Individual provider Active NPI

Mona Nour, DO

  • Family Medicine Physician
  • Merillville, IN
National Provider Identifier
1093464398
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02008558A Issued in IN
Practice address
8777 Broadway Ave
Pavilion C
Merillville, IN 46410
Phone
(219) 738-5323
NPI assigned
Mar 22, 2022
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02008558A IN Primary

Addresses

Primary practice location

8777 Broadway Ave
Pavilion C
Merillville, IN 46410

Mailing address

8777 Broadway Ave
Pavilion C
Merillville, IN 46410
Phone (219) 738-5325

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
I20251007001605 IN Practitioner - Family Practice 4486031622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Vermont College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Methodist Hospitals IncGroup PAC ID 9638063894, 131 clinicians

Practice addresses (Care Compare)

8777 Broadway
Merrillville, IN 46410-6693
Phone (219) 738-3854

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02008558AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc CurrentSince Sep 1, 2025 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Sep 1, 2025 Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

8777 Broadway
Merrillville, IN 46410
Phone (219) 736-5151

8777 Broadway
Ste C
Merrillville, IN 46410
Phone (219) 738-3550

Interoperability endpoints

  • Direct secure messaging: mnour121416@themethodisthospitals.direct-ci.com

Organizations & group practices 2

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

Hospital & facility affiliations 1

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": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1093464398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8777 BROADWAY AVE",
            "address_2": "PAVILION C",
            "city": "MERILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "219-738-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8777 BROADWAY AVE",
            "address_2": "PAVILION C",
            "city": "MERILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "219-738-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOUR",
        "first_name": "MONA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02008558A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merillville, IN

Sources for this page

Verify at the official NPI Registry.