Catherine C Moffitt, DO
Individual provider Active NPI Family Medicine Physician · Roanoke, IN
NPI 1770845992 · NPPES record last updated Jan 9, 2025
Key facts
- NPI
- 1770845992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 02004346A (IN)
- Practice address
- 10101 Ernst Rd Ste 1200
Roanoke, IN 46783-9711 - Phone
- (260) 234-5400
- Fax
- (260) 234-5410
- NPI assigned
- Jun 13, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iu Health Medical Group LLC
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Hospital & facility affiliations
- Indiana University Health Ball Memorial Hospital
- Lutheran Hospital of Indiana
- Parkview Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.04 of 100
- Quality
- 79.76
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 85.08
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140710001257 | IN | Practitioner - Family Practice | 1153571773 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current |
Accepting new patients | |
| Neighborhood Health Clinics, Inc | Current |
Accepting new patients | |
| Neighborhood Health Clinics, Inc | Family Medicine | Current |
Accepting new patients |
| Indiana University Health Fort Wayne Physicians, LLC | Family Medicine | Current |
Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
1717 S Calhoun St
Fort Wayne, IN 46802
Phone (260) 458-2641
256 E Pettit Ave
Ste 100
Fort Wayne, IN 46806
750 Broadway
Ste 250
Fort Wayne, IN 46802
Phone (260) 423-2675
750 Broadway
Ste 350
Fort Wayne, IN 46802
Phone (260) 423-2675
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
10101 Ernst Rd
Roanoke, IN 46783
Phone (260) 234-5401
10101 Ernst Rd
Ste 1200
Roanoke, IN 46783
Interoperability endpoints
- catherine.moffitt@nhci.eclinicaldirectplus.com
- cmoffitt@direct.iuhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02004346A | IN | Yes |
Addresses
Primary practice location
10101 Ernst Rd Ste 1200
Roanoke, IN 46783-9711
Mailing address
14419 Smugglers Notch
Fort Wayne, IN 46814-8701
Phone (260) 402-3139
Other practice location 1
1717 S Calhoun St
Fort Wayne, IN 46802-5257
Phone (260) 458-2641
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1102212175 | Other | IN | ANTHEM PTAN |
| 201092080 | Medicaid | IN |
Other names
- Katie Moffitt
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cmoffitt@direct.iuhealth.org | Direct |
Other providers in Roanoke, IN
- Emily Lautzenheiser
- Steven Marchioni
- Wayne Starr Miller
- Shaunna F Minnick
- Madison Miranda
- Cynthia K Morris
- Northeast Psychological Associates, LLC
- Matthew P Noyes
- Otp Services, LLC
- Ruth M Poppele
All providers in Roanoke, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.