Individual provider Active NPI

Paul Ryan Moe, M.D.

  • Psychiatry Physician
  • Indianapolis, IN
National Provider Identifier
1871683078
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01052479A Issued in IN
Practice address
1001 W 10TH St
Indianapolis, IN 46202-2859
Phone
(317) 630-7791
Fax
(317) 630-7616
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 01052479A IN Primary

Addresses

Primary practice location

1001 W 10TH St
Indianapolis, IN 46202-2859

Mailing address

PO Box 637764
Cincinnati, OH 45263-7764
Phone (317) 880-3939

Other identifiers 1

IdentifierTypeStateIssuer
01052479AOtherINLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pmoe11358@direct.eskenazihealth.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Indiana University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

720 Eskenazi Ave FL
5 Fifth Third Bank Building
Indianapolis, IN 46202-5189

Hospital & facility affiliations

  • Eskenazi Health Hospital, Indianapolis, IN, CCN 150024

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.43
Promoting interoperability
100
Improvement activities
40
Cost
82.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01052479AINMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Health and Hospital Corporation of Marion County Current Accepting new patients
Indiana University Psychiatric Associates, Inc. Psychiatry PastSince Dec 18, 2003 Accepting new patients

Locations

1001 W 10th St
Indianapolis, IN 46202
Phone (317) 630-6175

720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600

720 Eskenazi Ave
Fl 2
Indianapolis, IN 46202
Phone (317) 278-5316

Organizations & group practices 2

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 2

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1871683078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637764",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637764",
            "telephone_number": "317-880-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W 10TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022859",
            "telephone_number": "317-630-7791",
            "fax_number": "317-630-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOE",
        "first_name": "PAUL",
        "middle_name": "RYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01052479A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "01052479A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmoe11358@direct.eskenazihealth.edu",
            "affiliation": "N",
            "address_1": "3419 English Ave",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462014328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.