NPIMap

Individual provider Active NPI

Moumita Naidu, M.D

  • Cardiovascular Disease Physician
  • Indianapolis, IN
National Provider Identifier
1841619343
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
DR.0066163 Issued in CO
Practice address
8414 Naab Road Suite 100
Indianapolis, IN 46260-1902
Phone
(317) 338-7510
Fax
(317) 338-7539
NPI assigned
Apr 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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
Cardiovascular Disease Physician 207RC0000X DR.0066163 CO Primary

Addresses

Primary practice location

8414 Naab Road Suite 100
Indianapolis, IN 46260-1902

Mailing address

8414 Naab Rd Ste 100
Indianapolis, IN 46260-1972
Phone (317) 338-7510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210823001987 CO Practitioner - Cardiovascular Disease (Cardiology) 5193941359 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Indiana University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Platte Valley Medical Group LLCGroup PAC ID 5890054100, 120 clinicians

Practice addresses (Care Compare)

Broomfield, CO 80021
Phone (720) 807-4461

12905 W 40TH Ave
Wheat Ridge, CO 80401-2793

1600 Prairie Ctr Pkwy
Brighton, CO 80601-4006
Phone (303) 498-1600

1610 Prairie Ctr Pkwy
Brighton, CO 80601-4003

1818 N Ogden St
Suite 400
Denver, CO 80218-1280
Phone (303) 318-2460

300 Exempla Cir
310 Imh Heart and Vascular Institute Lafayatt
Lafayette, CO 80026-3394
Phone (303) 272-0500

400 Indiana St
Suite 390
Golden, CO 80401-5067
Phone (303) 272-0500

4859 Yampa St
Denver, CO 80249-7760
Phone (303) 498-1885

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Platte Valley Medical Group, LLC Cardiovascular Disease CurrentSince Aug 6, 2021 Accepting new patients
Intermountain Medical Group Denver, LLC Family Medicine CurrentSince Aug 6, 2021 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Aug 6, 2021 Accepting new patients
Intermountain Medical Group Denver, LLC Family Medicine Current Accepting new patients
Platte Valley Medical Group, LLC Family Medicine CurrentSince Aug 6, 2021 Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 6300
Broomfield, CO 80021
Phone (303) 272-0803

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

12905 W 40th Ave
Ste 305
Golden, CO 80401
Phone (303) 265-5730

400 Indiana St
Ste 390
Golden, CO 80401
Phone (303) 463-9600

630 Plaza Dr
Ste 110
Highlands Ranch, CO 80129
Phone (303) 376-1747

1536 Cole Blvd
Ste 250
Lakewood, CO 80401
Phone (303) 716-8027

3655 Lutheran Pkwy
Ste 201
Wheat Ridge, CO 80033
Phone (303) 420-0206

Interoperability endpoints

  • Direct secure messaging: mnaidu710663@direct.hfhs.org

Organizations & group practices 6

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 11

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": "1397174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1841619343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8414 NAAB RD STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601972",
            "telephone_number": "317-338-7510",
            "fax_number": "317-338-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8414 NAAB ROAD SUITE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601902",
            "telephone_number": "317-338-7510",
            "fax_number": "317-338-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIDU",
        "first_name": "MOUMITA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-11",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "DR.0066163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.