NPIMap

Individual provider Active NPI

Syed Wakerul Moazzem, MD

  • Rheumatology Physician
  • Rushville, IN
National Provider Identifier
1972777415
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
01065525A Issued in IN
Practice address
110 E 13TH St
Rushville, IN 46173-2126
Phone
(765) 932-7063
Fax
(765) 932-7065
NPI assigned
Apr 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01065525A IN
Rheumatology Physician 207RR0500X 01065525A IN Primary

Addresses

Primary practice location

110 E 13TH St
Rushville, IN 46173-2126

Mailing address

1300 N Main St
Rushville, IN 46173-1198
Phone (765) 932-4111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SyedMoazzem@rushmemorial.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20110317000479 IN Practitioner - RheumatologyPractitioner - Internal MedicinePractitioner - Hospitalist 8820271521 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rush Memorial HospitalGroup PAC ID 7012802754, 68 clinicians
Central Indiana-Amg Specialty Hospital, LLCGroup PAC ID 5991960668, 9 clinicians

Practice addresses (Care Compare)

110 E 13TH St
Rushville, IN 46173-2126
Phone (765) 932-7591

1300 N Main St
Rushville, IN 46173-1116
Phone (765) 932-4111

1310 N Main St
Rushville, IN 46173-1116
Phone (765) 932-7075

2401 W University Ave
FL 5
Muncie, IN 47303-3428
Phone (765) 751-5253

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Memorial Hospital CurrentSince Oct 1, 2015 Accepting new patients
Hancock Regional Hospital CurrentSince Jan 1, 2022 Accepting new patients
Hancock Regional Hospital CurrentSince Jan 1, 2022 Accepting new patients
Rush Memorial Hospital Internal Medicine CurrentSince Oct 1, 2013 Accepting new patients
Johnson Memorial Hospital CurrentSince Oct 1, 2015 Accepting new patients
Hancock Physician Network, LLC Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients
Central Indiana-Amg Specialty Hospital, LLC CurrentSince May 10, 2024 Accepting new patients
Hancock Regional Hospital Current Accepting new patients
Rush Memorial Hospital CurrentSince Oct 1, 2013 Accepting new patients
Ies HSP Indiana LLC CurrentSince Jan 6, 2025 Accepting new patients
Payne Park Inpatient Services LLC Internal Medicine Past Accepting new patients
Rush Memorial Hospital Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

1125 W Jefferson St
Franklin, IN 46131
Phone (317) 346-3858

801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727

801 N State St
Ste 2200
Greenfield, IN 46140
Phone (317) 462-6662

801 N State St
Ste 205
Greenfield, IN 46140
Phone (317) 325-2699

801 N State St
Fl 3
Greenfield, IN 46140
Phone (317) 447-6789

1 Memorial Sq
Ste 2200
Greenfield, IN 46140
Phone (317) 462-6662

2401 W University Ave
Fl 5
Muncie, IN 47303
Phone (765) 282-8797

323 Conrad Harcourt Way
Rushville, IN 46173
Phone (765) 932-4441

1300 N Main St
Rushville, IN 46173
Phone (317) 802-3106

110 E 13th St
Rushville, IN 46173
Phone (765) 932-7063

101 La Rue France
Ste 500
Lafayette, LA 70508
Phone (337) 269-9566

Interoperability endpoints

  • Direct secure messaging: syedmoazzem@rushmemorial.cernerdirect.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1972777415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N MAIN ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731198",
            "telephone_number": "765-932-4111",
            "fax_number": "765-932-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 13TH ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461732126",
            "telephone_number": "765-932-7063",
            "fax_number": "765-932-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOAZZEM",
        "first_name": "SYED",
        "middle_name": "WAKERUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01065525A",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IN",
            "license": "01065525A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SyedMoazzem@rushmemorial.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Clinical Documents and CCD Exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Clinical Documents and CCD Exchange",
            "address_1": "110 E 13th St",
            "address_2": "Rush Memorial Hospital Rheumatology",
            "city": "Rushville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461732126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rushville, IN

Sources for this page

Verify at the official NPI Registry.