Active NPI
Renee C Moenning, MD
- Rheumatology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 01062129A
- Practice address
- 1110 W Michigan St
Room #545
Indianapolis, IN 46202-5209 - Phone
- (317) 274-7724
- Fax
- (317) 274-7792
- NPI assigned
- Oct 3, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20030447 | NM | |
| Internal Medicine Physician | 207R00000X | 01062129A | IN | |
| Rheumatology Physician | 207RR0500X | 01062129A | IN | Primary |
Addresses
Primary practice location
1110 W Michigan St
Room #545
Indianapolis, IN 46202-5209
Mailing address
250 N Shadeland Ave
Suite 130
Indianapolis, IN 46219-4959
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200906220 | Medicaid | IN | |
| 76335283 | Medicaid | NM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rmoennin@direct.iuhealth.org |
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
- Rheumatology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Hospital & facility affiliations
- Indiana University Health
- Eskenazi Health
- Columbus Regional Hospital
- Indiana University Health Bloomington Hospital
- Indiana University Health Arnett Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20030447 | NM | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Internal Medicine | Current | Accepting new patients |
| Monte Sol Medical Group | Internal Medicine | Past | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
7301 Solutions Ctr
Chicago, IL 60677
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
1110 W Michigan St
Rm 545
Indianapolis, IN 46202
Phone (317) 274-7724
250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1110 W Michigan St
Ste 545
Indianapolis, IN 46202
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
Interoperability endpoints
- rmoennin@direct.iuhealth.org
- rmoenning15525@direct.eskenazihealth.edu
Organizations & group practices 4
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 Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Internal Medicine Physician
- Santa Fe, NM
- NPI 1316964372
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, IN
- NPI 1104998624
-
- General Acute Care Hospital
- Lafayette, IN
- NPI 1326296211
-
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1568407310
-
- Methadone Clinic
- Indianapolis, IN
- NPI 1760922249
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1922192301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"address_2": "SUITE 130",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 W MICHIGAN ST",
"address_2": "ROOM #545",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025209",
"telephone_number": "317-274-7724",
"fax_number": "317-274-7792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOENNING",
"first_name": "RENEE",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "20030447",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01062129A",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "IN",
"license": "01062129A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200906220",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "76335283",
"state": "NM"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rmoennin@direct.iuhealth.org",
"affiliation": "N",
"address_1": "1110 W Michigan St",
"address_2": "Room #545",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025209",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 18, 2021; 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.