Active NPI
Victoria L Moyer, MD
- Family Medicine Physician
- Kokomo, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01055871A
- Practice address
- 138 N Dixon Rd
Kokomo, IN 46901-4154 - Phone
- (765) 236-8282
- NPI assigned
- Nov 7, 2005
- Sex
- Female
- 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 | 01055871A | IN | Primary |
Addresses
Primary practice location
138 N Dixon Rd
Kokomo, IN 46901-4154
Mailing address
138 N Dixon Rd
Kokomo, IN 46901-4154
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000229465 | Other | ANTHEM | |
| 200389350A | Medicaid | IN | |
| 10784616 | Other | CAQH |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2401 Columbus Blvd
Kokomo, IN 46901-6455
Phone (765) 453-1254
Hospital & facility affiliations
- Ascension at Home
- Community Howard Regional Health Inc.
- Ascension St Vincent Kokomo
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01055871A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Family Medicine | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| Grace Divine, LLC | Family Medicine | Past | Accepting new patients |
| St. Joseph Primary Care, LLC | Family Medicine | Past | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
2401 Columbus Blvd
Kokomo, IN 46901
Phone (765) 236-0786
Interoperability endpoints
- vmoyer546085@ecommunitydirect.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1548596372
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Family Medicine Physician
- Kokomo, IN
- NPI 1982736377
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1902878994
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1780625442
-
- Home Health Agency
- Pendleton, IN
- NPI 1942376843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1891776951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 N DIXON RD",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469014154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 N DIXON RD",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469014154",
"telephone_number": "765-236-8282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYER",
"first_name": "VICTORIA",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-07",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01055871A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000229465",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200389350A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10784616",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.