| Mohammad R Nekoomaram, MD | |
| 3512 S Lafountain St, Kokomo, IN 46902-3803 | |
| (765) 865-6633 | |
| (765) 865-6634 | 
| Full Name | Mohammad R Nekoomaram | 
|---|---|
| Gender | Male | 
| Speciality | Orthopaedic Surgery | 
| Location | 3512 S Lafountain St, Kokomo, Indiana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1255379673 | NPI | - | NPPES | 
| P01270953 | Other | IN | RR MEDICARE | 
| 100327380 | Medicaid | IN | |
| 100365080 | Medicaid | IN | |
| 200932110A | Medicaid | IN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 01029903 (Indiana) | Primary | 
| Entity Name | Community Physicians Of Indiana Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mohammad R Nekoomaram, MD 6626 E 75th St, Suite 500, Indianapolis, IN 46250-2890 Ph: () - | Mohammad R Nekoomaram, MD 3512 S Lafountain St, Kokomo, IN 46902-3803 Ph: (765) 865-6633 | 
| Dr. Jason C Watters, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3510 S Lafountain St, Kokomo, IN 46902 Phone: 765-776-3100 Fax: 765-453-8165 | |
| Aaron Jon Legrand, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1907 W Sycamore St Ste 200, Kokomo, IN 46901 Phone: 765-236-8170 | |
| Dr. Courtney Allen Holland, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3512 S Lafountain St, Kokomo, IN 46902 Phone: 765-776-3100 Fax: 765-453-8165 | |
| Clifford J Evans, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3512 S Lafountain St, Kokomo, IN 46902 Phone: 765-776-3100 Fax: 765-453-8165 | |
| Cody Shafer, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1907 W Sycamore St # 200, Kokomo, IN 46901 Phone: 765-236-8170 | |
| Thomas M. Reilly, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 821 N Dixon Rd, Kokomo, IN 46901 Phone: 765-450-0111 Fax: 765-553-5504 |