Active NPI
Brian Harris Moss, DO
- Orthopaedic Surgery Physician
- Arlington Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 036130220
- Practice address
- 415 W Golf Rd
Suite 68
Arlington Heights, IL 60005-3929 - Phone
- (847) 593-5511
- Fax
- (847) 593-0872
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 20A11514 | CA | |
| Orthopaedic Surgery Physician | 207X00000X | 5101016864 | MI | |
| Orthopaedic Surgery Physician | 207X00000X | 036130220 | IL | Primary |
Addresses
Primary practice location
415 W Golf Rd
Suite 68
Arlington Heights, IL 60005-3929
Mailing address
415 W Golf Rd
Suite 68
Arlington Heights, IL 60005-3929
Phone (847) 593-5511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1615125 | Other | IL | BCBS OF IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
415 W Golf Rd
Arlington Heights, IL 60005-3923
Phone 8475935511230
Hospital & facility affiliations
- Guardian Home Health Care, LLC
- Northwest Community Hospital 1
- Alexian Brothers Medical Center 1
- Northshore University Healthsystem - Evanston Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 18 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A11514 | CA | MD | Orthopaedic Surgery Physician |
| 036130220 | IL | MD | Orthopaedic Surgery Physician |
| 5101016864 | MI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Associates, SC | Orthopaedic Surgery | Current | Accepting new patients |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
415 W Golf Rd
Ste 68
Arlington Hts, IL 60005
Phone (847) 439-4447
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FCBDCA/Endpoint/FCBDCA
- https://fhir4.healow.com/fhir/r4/FCBDCA
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elk Grove Village, IL
- NPI 1265577191
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
- Home Health Agency
- Northfield, IL
- NPI 1366439655
-
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1578932869
-
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1770531600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1013134394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 W GOLF RD",
"address_2": "SUITE 68",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600053929",
"telephone_number": "847-593-5511",
"fax_number": "847-593-0872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 W GOLF RD",
"address_2": "SUITE 68",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600053929",
"telephone_number": "847-593-5511",
"fax_number": "847-593-0872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "BRIAN",
"middle_name": "HARRIS",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "20A11514",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "5101016864",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036130220",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IL",
"identifier": "1615125",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.