MEDICARE: DR. MICHAEL SAMUEL MORELLI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	01058426A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760489942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL SAMUEL MORELLI M.D.

Provider Business Mailing Address
First Line	:	8051 SOUTH EMERSON AVE
Second Line	:	SUITE 200
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46237-8632
Country	:	US
Telephone Number	:	317-865-2955
Fax Number	:	317-865-2944

Provider Business Practice Location Address
First Line	:	8051 SOUTH EMERSON AVE
Second Line	:	SUITE 200
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46237-8632
Country	:	US
Telephone Number	:	317-865-2955
Fax Number	:	317-865-2944

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	03/09/2020

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Directions to “ DR. MICHAEL SAMUEL MORELLI M.D.” Practice Location

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