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

John Nicholas Moustoukas, MD

Individual provider Emergency Medicine Physician · NPI 1124317847

John Nicholas Moustoukas, MD is an Emergency Medicine in Manitowoc, Wisconsin. Graduated from Tulane University School of Medicine in 2011, 15 years ago. Practices with Home Doctors Midwest PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
15
Trained at
Tulane University School of Medicine
Licensed in
IL, IN
In the registry since
2011
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

2300 Western Ave
Manitowoc, WI 54220-3712
Phone: (920) 320-2436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036.134200 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 01073262A (IN)

Record details

NPI number1124317847
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2011
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025
Mailing address2325 N Wayne Ave, Chicago, IL 60614-3118

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Home Doctors Midwest Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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