Individual provider Active NPI

Olivia Kathryn Moorlach, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fishers, IN
National Provider Identifier
1619610094
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07001481A Issued in IN
Practice address
7830 E 96TH St
Fishers, IN 46037-9629
Phone
(888) 499-5249
NPI assigned
Apr 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 07001481A IN Primary

Addresses

Primary practice location

7830 E 96TH St
Fishers, IN 46037-9629

Mailing address

7830 E 96TH St
Fishers, IN 46037-9629

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250604003621 IN Practitioner - Podiatry 0648789172 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians
Hoosier Foot and Ankle LLCGroup PAC ID 8820074750, 20 clinicians

Practice addresses (Care Compare)

7830 E 96TH St
Fishers, IN 46037-9629
Phone (888) 499-5249

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue115
Removal or shaving of skin growth42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Jul 1, 2025 Accepting new patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Jul 1, 2025 Accepting new patients
Hoosier Foot and Ankle LLC Foot & Ankle Surgery CurrentSince Jul 1, 2025 Accepting new patients

Locations

2024 Lindberg Rd
Anderson, IN 46012
Phone (317) 643-2987

7830 E 96th St
Fishers, IN 46037
Phone (888) 499-5249

1159 W Jefferson St
Ste 204
Franklin, IN 46131

7412 Rockville Rd
Ste A
Indianapolis, IN 46214
Phone (317) 271-0041

18051 River Rd
Ste 201
Noblesville, IN 46062
Phone (317) 776-6050

4101 Charlotte Ave
Ste F185
Nashville, TN 37209
Phone (678) 426-2171

Interoperability endpoints

  • Direct secure messaging: olivia.moorlach.1@18107.direct.athenahealth.com
  • Direct secure messaging: olivia.moorlach.1@4399.direct.athenahealth.com

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.

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": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1619610094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 E 96TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 E 96TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379629",
            "telephone_number": "888-499-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORLACH",
        "first_name": "OLIVIA",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001481A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.