NPIMap

Individual provider Active NPI

Robert T Moosally, DO

  • Family Medicine Physician
  • Warren, OH
National Provider Identifier
1013993419
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34007710 Issued in OH
Practice address
2537 E Market St
Warren, OH 44483-6257
Phone
(330) 460-5514
Fax
(330) 595-4366
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34007710 OH Primary
Emergency Medicine Physician 207P00000X 34007710 OH

Addresses

Primary practice location

2537 E Market St
Warren, OH 44483-6257

Mailing address

2537 E Market St
Warren, OH 44483-6257
Phone (330) 656-5911

Other identifiers 4

IdentifierTypeStateIssuer
000000385522OtherOHANTHEM
2374989MedicaidOH
001965500-0003OtherOHPENNSYLVANIA MEDICAID
000000383091OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040626000348 OH Practitioner - Emergency Medicine 5597741926 Reassigns benefits to 9 organizations
I20210407001650 PA Practitioner - Emergency Medicine 5597741926

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mves Boardman LLCGroup PAC ID 4688694722, 36 clinicians

Practice addresses (Care Compare)

8401 Market St
Boardman, OH 44512-6725
Phone (240) 686-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as group
Quality
97.69
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.8 of 100Reported as group
Quality
79.54
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34007710OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magis Emergency Medicine LLC Emergency Medicine CurrentSince Jul 1, 2015 Accepting new patients
Moosally Medical CurrentSince Dec 18, 2022 Accepting new patients
Steward Emergency Physicians Ohio Inc Emergency Medicine CurrentSince Apr 30, 2020 Accepting new patients
4M Emergency Systems Tod LLC Emergency Medicine CurrentSince Jul 15, 2016 Accepting new patients
Ohio Pain & Rehabilitation Inc CurrentSince Jul 27, 2021 Accepting new patients
Avalon Dermatology LLC PastSince Mar 22, 2024 Accepting new patients
Mercy Health Youngstown LLC PastSince Jul 15, 2016 Accepting new patients
Brown Memorial Hospital Emergency Medicine Past Accepting new patients

Locations

5901 E Royalton Rd
Broadview Heights, OH 44147
Phone (440) 792-9005

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

1296 Tod Pl NW
Ste 200
Warren, OH 44485
Phone (330) 306-5040

8323 E Market St
Warren, OH 44484
Phone (330) 609-5533

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

2537 E Market St
Warren, OH 44483
Phone (330) 372-5500

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1013993419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836257",
            "telephone_number": "330-656-5911",
            "fax_number": "330-656-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2537 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836257",
            "telephone_number": "330-460-5514",
            "fax_number": "330-595-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOSALLY",
        "first_name": "ROBERT",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34007710",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34007710",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000385522",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2374989",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA MEDICAID",
            "identifier": "001965500-0003",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000383091",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.