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

Dr. Jose Antonio Moreno, MD

Individual provider Surgery Physician · NPI 1255594198

Dr. Jose Antonio Moreno, MD is a General Surgery in Indianapolis, Indiana. Qualified in 2002, 24 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
24
Licensed in
IN
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 N Ritter Ave Ste 120
Indianapolis, IN 46219-3052
Phone: (317) 355-1000
Fax: (317) 355-5440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 01074398A (IN)
Surgery Physician Taxonomy 208600000X · Licence 11014344A (IN)

Record details

NPI number1255594198
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 9, 2008
Last updated in NPPESNovember 27, 2023
Certification dateOctober 14, 2020

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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