Dr Mydhili Nandanan Moorthie, MD, MPH - Medicare Family Practice in Saint John, IN

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Dr Mydhili Nandanan Moorthie, MD, MPH is a medicare enrolled "Family Medicine" physician in Saint John, Indiana. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Cepamerica Illinois Llp, Edward Health Ventures and her current practice location is 9660 Wicker Ave, Saint John, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 365-1177.

Dr Mydhili Nandanan Moorthie is licensed to practice in Indiana (license number 01092376A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982847810.

Contact Information

Dr Mydhili Nandanan Moorthie, MD, MPH
9660 Wicker Ave,
Saint John, IN 46373-9487
(219) 365-1177
(219) 703-6662

Map and Direction




Physician's Profile

Full NameDr Mydhili Nandanan Moorthie
GenderFemale
SpecialityFamily Practice
Experience22 Years
Location9660 Wicker Ave, Saint John, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mydhili Nandanan Moorthie graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1982847810
  • Provider Enumeration Date: 04/08/2009
  • Last Update Date: 03/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7911158043
  • Enrollment ID: I20121119000151

Medical Identifiers

Medical identifiers for Dr Mydhili Nandanan Moorthie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982847810NPI-NPPES
300085119MedicaidIN
1102594807OtherINANTHEM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036129528 (Illinois)Secondary
207Q00000XFamily Medicine 01092376A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Advocate Sherman HospitalElgin, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cepamerica Illinois Llp3274793633407
Edward Health Ventures4284531484510

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 Mydhili Nandanan Moorthie allows following entities to bill medicare on her behalf.
Entity NameEdward Health Ventures
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962452912
PECOS PAC ID: 4284531484
Enrollment ID: O20031216000616
Entity NameEdward Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013969013
PECOS PAC ID: 0042108110
Enrollment ID: O20040309001279
Entity NameMorris Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558466268
PECOS PAC ID: 1850372459
Enrollment ID: O20040528000663
Entity NameCepamerica Illinois Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912283110
PECOS PAC ID: 3274793633
Enrollment ID: O20120322000587

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 Mydhili Nandanan Moorthie 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 AddressPractice Location Address
Dr Mydhili Nandanan Moorthie, MD, MPH
4119 Honey Locust Dr,
Naperville, IL 60564-1113

Ph: (312) 593-7438		Dr Mydhili Nandanan Moorthie, MD, MPH
9660 Wicker Ave,
Saint John, IN 46373-9487

Ph: (219) 365-1177

Reviews and Comments


Family Medicine Doctors in Saint John, IN

Dr. Dana Elsherif, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10860 Maple Ln, Saint John, IN 46373
Phone: 219-365-7000    Fax: 219-365-2609
Jessica Lynn Bakker, FNP-C
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 9825 Wicker Ave, Saint John, IN 46373
Phone: 219-763-8112    Fax: 219-764-5333
Shalini Patel, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9660 Wicker Ave, Saint John, IN 46373
Phone: 219-365-1166    Fax: 219-226-2222
Dr. Ganapathi R Gottumukkala, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9660 Wicker Ave, Saint John, IN 46373
Phone: 193-651-1772    Fax: 219-703-6662
David Deschepper, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10860 Maple Ln, Saint John, IN 46373
Phone: 219-365-7000    Fax: 219-365-2609

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.