{"npi":"1003026501","type":"NPI-1","status":"active","name":{"display":"Mohannad Moallem M.D.","other":[],"first":"MOHANNAD","last":"MOALLEM","credential":"M.D."},"specialty":{"primary_taxonomy":"2080N0001X","primary_taxonomy_description":"Neonatal-Perinatal Medicine Physician","slug":"neonatal-perinatal-medicine-physician","schema_org_specialty":null,"all":[{"code":"2080N0001X","description":"Neonatal-Perinatal Medicine Physician","primary":true,"state":"IN","license":"01086945A"}]},"addresses":[{"purpose":"LOCATION","street_1":"705 RILEY HOSPITAL DR","city":"INDIANAPOLIS","state":"IN","postal_code":"462025109","country_code":"US","phone":"3172744779","fax":"3179489806"},{"purpose":"MAILING","street_1":"PO BOX 719094","city":"CHICAGO","state":"IL","postal_code":"606779318","country_code":"US","phone":"3177776435","fax":"3177776644"}],"license":{"state":"IN","number":"01086945A"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"300057674","state":"IN","issuer":null},{"type_code":"05","label":"Medicaid","value":"0050048","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110815000288","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"OH","pac_id":"2860661527"},{"enrlmt_id":"I20220204001474","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"IN","pac_id":"2860661527"}]},"enumeration_date":"2007-05-23","last_updated":"2026-03-06","_meta":{"source":"NPPES","snapshot_date":"2026-03-06","doc_url":"https://findmynpi.com/api"}}