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

Maryam Massoumi, MD

Individual provider Internal Medicine Physician · NPI 1194709022

Maryam Massoumi, MD is an Internal Medicine in Indianapolis, Indiana. Qualified in 1991, 35 years ago. Practices with St Vincent Physician Services Hospital and Health Care Center, a 282-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
35
Licensed in
IN
In the registry since
2005
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

2001 W 86th St 3N Medical Education
Indianapolis, IN 46260-1902
Phone: (317) 338-2172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8414 Naab Rd, Indianapolis, IN 46260-1972 — (317) 338-7510

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 01046730A (IN)

Record details

NPI number1194709022
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 5, 2005
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice St Vincent Physician Services Hospital And Health Care Center — 282 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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