Horizon Family Medicine Center LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

01057399A Issued in IN

Legal business name

HORIZON FAMILY MEDICINE CENTER LLC

Practice address

3737 N Meridian St Ste 501
Indianapolis, IN 46208

Phone

(317) 493-1053

Fax

(317) 426-2208

NPI assigned

Nov 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jude J Momodu, M.DNPI 1912924549

Title

Ceo

Phone

(317) 493-1053

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17091/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jude J Momodu, M.D.

  • Family Medicine Physician
  • NPI 1912924549

  IN

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1295089621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 N MERIDIAN ST STE 501",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084383",
            "telephone_number": "317-493-1053",
            "fax_number": "317-426-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 N MERIDIAN ST STE 501",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46208",
            "telephone_number": "317-493-1053",
            "fax_number": "317-426-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON FAMILY MEDICINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "MOMODU",
        "authorized_official_first_name": "JUDE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-493-1053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "01057399A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA (CMS)",
            "identifier": "15D2052802",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295089621",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra K Horan-Toll NP, NP
• Jessica Lucille Horan, D.O.
• Noelle Horan
• Randall K Horine, MD
• Horizon ABA in LLC
• Horizons ABA in LLC
• Horn Home Care Services Co
• Melissa S Horn-Holland, RN
• Bryon Horn, ATHLETIC TRAINER
• Drew Brandon Dylan Horn

• Primary Care Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.