John Nicholas Moustoukas, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036.134200 Issued in IL

Practice address

2300 Western Ave
Manitowoc, WI 54220-3712

Phone

(920) 320-2436

NPI assigned

Apr 4, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, IL, IA, WI4 enrollments

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 4

Specialty

Emergency Medicine

Education

Tulane University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Home Doctors Midwest PLLCGroup PAC ID 9436633591, 6 clinicians

Sos Care Midwest PLLCGroup PAC ID 8426539990, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vitas Healthcare Corporation of Illinois Hospice, Chicago, IL, CCN 141574
• Holy Family Memorial Hospital, Manitowoc, WI, CCN 520107
• Jackson County Regional Health Center Hospital, Maquoketa, IA, CCN 161329

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmoustoukas782128@direct.froedtert.com

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.

• Home Doctors Midwest PLLC

  • Family Medicine Physician
  • Schaumburg, IL
  • NPI 1881547073
  Medicare reassignment Care Compare group NPD Authorized official
• Sos Care Midwest PLLC

  • Home Health Agency
  • Northfield, IL
  • NPI 1366324006
  Medicare reassignment Care Compare group NPD Authorized official
• Froedtert Manitowoc Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Manitowoc, WI
  • NPI 1437829975
  Medicare reassignment NPD
• Baptist Health Medical Group Inc

  • Urgent Care Clinic/Center
  • Louisville, KY
  • NPI 1508269200

  IN

  Medicare reassignment NPD
• Community First Healthcare of Illinois, Inc.

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1881059897
  Medicare reassignment NPD
• Iems Physician Services PLLC

  • Emergency Medicine Physician
  • Urbana, IL
  • NPI 1790544047
  Medicare reassignment NPD
• Illinois Emergency Medicine Specialists, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bolingbrook, IL
  • NPI 1003150962
  Medicare reassignment NPD
• Insight Chicago, Inc.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1881261006
  Medicare reassignment NPD
• Jackson County Public Hospital

  • Critical Access Hospital
  • Maquoketa, IA
  • NPI 1912960758
  Medicare reassignment NPD
• North Indiana Emergency Physicians, LLP

  • Emergency Medicine Physician
  • La Porte, IN
  • NPI 1144691478
  Medicare reassignment NPD
• The Board of Trustees of the University of Illinois

  • Anatomic Pathology Physician
  • Chicago, IL
  • NPI 1386863819
  Medicare reassignment NPD
• Icarusmd PLLC

  • Urgent Care Clinic/Center
  • Northfield, IL
  • NPI 1427859206
  NPD Authorized official

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

• Holy Family Memorial Inc

  • General Acute Care Hospital
  • Manitowoc, WI
  • NPI 1700998697
  Care Compare affiliation
• Jackson County Public Hospital

  • Critical Access Hospital
  • Maquoketa, IA
  • NPI 1912960758
  Care Compare affiliation
• Vitas Healthcare Corporation of Illinois

  • Community Based Hospice Care Agency
  • Chicago, IL
  • NPI 1386786945
  Care Compare affiliation

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1124317847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 N WAYNE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143118",
            "telephone_number": "504-669-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WESTERN AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542203712",
            "telephone_number": "920-320-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSTOUKAS",
        "first_name": "JOHN",
        "middle_name": "NICHOLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-04",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01073262A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.134200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sighle Mleziva
• Jamie Christine Moline, PHARMD
• Jennifer Monte-Last
• Joylyn Nicole Moore, RPH
• Luann Moraski, DO
• Evan Richard Mulder, DAT, LAT, OTC
• Bryan J Mulheron, D.O.
• Vickie Patricia Mullins, OTR / CHT
• James T Murphy, MD
• Jayne Nagel

• Emergency Medicine Physician in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Emergency Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.