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

Peter Moll, MD

Individual provider Anesthesiology Physician · NPI 1265675607

Peter Moll, MD is an Anesthesiology in Indianapolis, Indiana. Graduated from State University of New York at Stony Brook, School of Medicine in 2009, 17 years ago. Practices with Mary Imogene Bassett Hospital, a 779-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
17
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
IN
In the registry since
2009
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

4725 Statesmen Dr Ste C-D
Indianapolis, IN 46250-5644
Phone: (317) 577-4200
Fax: (317) 614-9655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 01072203A (IN)

Record details

NPI number1265675607
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2009
Last updated in NPPESJune 20, 2013

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Mary Imogene Bassett Hospital — 779 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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