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

Joseph Kaleb Moore

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104354505

Joseph Kaleb Moore is a Family Practice in Fortville, Indiana. Graduated from University of Louisville School of Medicine in 2018, 8 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana and Kentucky.

Years since qualifying
8
Trained at
University of Louisville School of Medicine
Licensed in
IN, KY
In the registry since
2017
Specialties on file
2

Practice location Address checks out

545 Vitality Dr Ste 100A
Fortville, IN 46040-1373
Phone: (317) 621-9220
Fax: (317) 621-9222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 S Preston St Rm 305, Louisville, KY 40202-1702 — (502) 852-8696

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01086091A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (KY)

Record details

NPI number1104354505
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 30, 2017
Last updated in NPPESJuly 6, 2021
Certification dateJuly 6, 2021
Mailing address6626 E 75th St Ste 500, Indianapolis, IN 46250-2890

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fortville