Active NPI
Thomas E Moran, M.D.
- Family Medicine Physician
- Indianapolis, IN
National Provider Identifier
1700876505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01020493A
- Practice address
- 8404 Siear Ter
206
Indianapolis, IN 46227-7215 - Phone
- (317) 889-4120
- Fax
- (317) 889-4128
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01020493A | IN | Primary |
Addresses
Primary practice location
8404 Siear Ter
206
Indianapolis, IN 46227-7215
Mailing address
8404 Siear Ter
206
Indianapolis, IN 46227-7215
Phone (317) 889-4120
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011068167A | Other | RAILROAD MEDICARE | |
| 000000083183 | Other | IN | ANTHEM PIN |
| 100060040A | Medicaid | IN |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189555200000",
"number": "1700876505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8404 SIEAR TER",
"address_2": "206",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462277215",
"telephone_number": "317-889-4120",
"fax_number": "317-889-4128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8404 SIEAR TER",
"address_2": "206",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462277215",
"telephone_number": "317-889-4120",
"fax_number": "317-889-4128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "THOMAS",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2007-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01020493A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "011068167A",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000083183",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100060040A",
"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 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.