Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Corey Mondul, CAA

Individual provider Anesthesiologist Assistant · NPI 1710651138

Corey Mondul, CAA is an Anesthesiology Assistant in Indianapolis, Indiana. Qualified in 2021, 5 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana and Ohio.

Years since qualifying
5
Licensed in
IN, OH
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone: (317) 944-9981
Fax: (317) 944-0282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5165 McCarty Ln, Lafayette, IN 47905-8764 — (765) 448-8000
  • 2139 Auburn Ave, Cincinnati, OH 45219-2906 — (513) 585-2000

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 75000192A (IN)
Anesthesiologist Assistant Taxonomy 367H00000X
Anesthesiologist Assistant Taxonomy 367H00000X · Licence 67.000418 (OH)

Record details

NPI number1710651138
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorYes
NPI enumeratedAugust 9, 2021
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025
Mailing address250 N Shadeland Ave, Indianapolis, IN 46219-4959

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Indianapolis