Dr Kmlst Moorthi, MD in Merrillville, IN

Dr Kmlst Moorthi, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Merrillville, Indiana. He graduated from medical school in 1996 and has 29 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Northwestern Medical Faculty Foundation and his current practice location is 90 W 86th Ave, Nephrology Associates Of Northern Indiana, Merrillville, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 791-1555.

Dr Kmlst Moorthi is licensed to practice in Indiana (license number 01063457A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861494049.

Contact Information

	Dr Kmlst Moorthi, MD
	90 W 86th Ave, Nephrology Associates Of Northern Indiana, Merrillville, IN 46410-7086
	(219) 791-1555
	(219) 791-0679

Map and Direction

Physician's Profile

Full Name	Dr Kmlst Moorthi
Gender	Male
Speciality	Nephrology
Experience	29 Years
Location	90 W 86th Ave, Merrillville, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kmlst Moorthi graduated from medical school in 1996

NPI Data:

NPI Number: 1861494049
Provider Enumeration Date: 06/01/2005
Last Update Date: 11/18/2024

Medicare PECOS Information:

PECOS PAC ID: 9739070640
Enrollment ID: I20170320002475

Medical Identifiers

Medical identifiers for Dr Kmlst Moorthi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861494049	NPI	-	NPPES
200876750	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	036106618 (Illinois)	Secondary
207RN0300X	Internal Medicine - Nephrology	01063457A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fmc - Northwestern	Chicago, IL	Dialysis facility
Northwestern Memorial Hospital	Chicago, IL	Hospital
Community Hospital	Munster, IN	Hospital
St Mary Medical Center Inc	Hobart, IN	Hospital
St Catherine Hospital Inc	East chicago, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northwestern Medical Faculty Foundation	4587576814	3871

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kmlst Moorthi allows following entities to bill medicare on his behalf.

Entity Name	Northwestern Medical Faculty Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541

Entity Name	Nephrology Associates Of Northern Illinois Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124069182 PECOS PAC ID: 2163328675 Enrollment ID: O20031208000313

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kmlst Moorthi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kmlst Moorthi, MD 120 W 22nd St Ste 200, Oak Brook, IL 60523-1563 Ph: (630) 573-5000	Dr Kmlst Moorthi, MD 90 W 86th Ave, Nephrology Associates Of Northern Indiana, Merrillville, IN 46410-7086 Ph: (219) 791-1555

Reviews and Comments

Internal Medicine Doctors in Merrillville, IN

Dr. Mihas Mamu Kodenchery, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5800 Broadway, Suite A-j, Merrillville, IN 46410 Phone: 219-884-9185
Virginia Tan Tabib, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 8127 Merrillville Rd, Merrillville, IN 46410 Phone: 219-769-4855 Fax: 219-757-5629
Dr. Mohammed Asgar, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 5490 Broadway Ste 106, Merrillville, IN 46410 Phone: 219-939-7130 Fax: 219-951-0883
Gaurav Agarwal, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6061 Broadway, Merrillville, IN 46410 Phone: 219-884-2640 Fax: 219-884-2810
Katrina E Wright, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 90 W 86th Ave, Merrillville, IN 46410 Phone: 219-791-1555 Fax: 219-791-1560
Larry R Brazley, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 255 E 90th Dr, W1, Merrillville, IN 46410 Phone: 219-791-0248 Fax: 219-791-0251
Stephanie D Marshall, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 8684 Connecticut St Ste A, Merrillville, IN 46410 Phone: 192-472-8990 Fax: 219-472-0270

Dr Kmlst Moorthi, MD - Medicare Nephrology in Merrillville, IN