Individual provider Active NPI

Millicent D. Moye, M.D.

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1447237920
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01059510A Issued in IN
Practice address
640 Eskenazi Ave
F1-200
Indianapolis, IN 46202-5173
Phone
(317) 880-6559
Fax
(317) 880-0411
NPI assigned
Dec 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 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 01059510A IN Primary

Addresses

Primary practice location

640 Eskenazi Ave
F1-200
Indianapolis, IN 46202-5173

Mailing address

PO Box 637999
Cincinnati, OH 45263-7999
Phone (317) 682-2030

Other practice location 1

2620 Kessler Blvd. East Dr.
Ste. 230
Indianapolis, IN 46220-2897
Phone (317) 644-5000

Other practice location 2

2868 N Pennsylvania St
Indianapolis, IN 46205-4125
Phone (317) 221-3400

Other identifiers 2

IdentifierTypeStateIssuer
000000521092OtherINANTHEM
100143130AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01059510AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Health Services, Inc. Past Accepting new patients
Citizens Health Corporation Past Accepting new patients
The Health and Hospital Corporation of Marion County Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1447237920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637999",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637999",
            "telephone_number": "317-682-2030",
            "fax_number": "317-644-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 ESKENAZI AVE",
            "address_2": "F1-200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025173",
            "telephone_number": "317-880-6559",
            "fax_number": "317-880-0411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 Kessler Blvd. East Dr.",
            "address_2": "Ste. 230",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462202897",
            "country_code": "US",
            "telephone_number": "317-644-5000",
            "fax_number": "317-644-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2868 N Pennsylvania St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462054125",
            "country_code": "US",
            "telephone_number": "317-221-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOYE",
        "first_name": "MILLICENT",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01059510A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000521092",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100143130A",
            "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 Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.