Active NPI
Robert Moser, MD
- Internal Medicine Physician
- Kannapolis, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 9400945
- Practice address
- 559 Jackson Park Rd
Kannapolis Int Med
Kannapolis, NC 28083-3657 - Phone
- (704) 932-1155
- Fax
- (704) 932-3500
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9400945 | NC | Primary |
Addresses
Primary practice location
559 Jackson Park Rd
Kannapolis Int Med
Kannapolis, NC 28083-3657
Mailing address
559 Jackson Park Rd
Kannapolis Int Med
Kannapolis, NC 28083-3657
Phone (704) 932-1155
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 232009 | Other | NC | MEDICARE PTAN, GROUP |
| 8960917 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9400945 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Charlotte-Mecklenburg Hospital Authority | Internal Medicine | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Internal Medicine | Current | Accepting new patients |
| Carolinas Medical Center-Northeast | Internal Medicine | Past | Accepting new patients |
| CMC-Northeast, Inc. | Past | Accepting new patients | |
| Carolinas Medical Center-Northeast | Past | Accepting new patients | |
| Carolinas Medical Center-Northeast | Internal Medicine | Past | Accepting new patients |
| CMC-Northeast, Inc. | Past | Accepting new patients | |
| CMC-Northeast, Inc. | Past | Accepting new patients | |
| Carolinas Medical Center-Northeast | Past | Accepting new patients | |
| Carolinas Medical Center-Northeast | Past | Accepting new patients | |
| CMC-Northeast, Inc. | Past | Accepting new patients | |
| CMC-Northeast, Inc. | Past | Accepting new patients | |
| Carolinas Medical Center-Northeast | Past | Accepting new patients | |
| Carolinas Medical Center-Northeast | Past | Accepting new patients | |
| Concord Women'S Specialty Care, Inc. | Past | Accepting new patients |
Locations
200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740
920 Church St N
Concord, NC 28025
Phone (704) 403-3000
1085 NE Gateway Ct NE
#200A
Concord, NC 28025
Phone (704) 403-8650
8560 Cook St
Mt Pleasant, NC 28124
Phone (704) 403-1911
Organizations & group practices 16
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365379200000",
"number": "1023080934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "559 JACKSON PARK RD",
"address_2": "KANNAPOLIS INT MED",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280833657",
"telephone_number": "704-932-1155",
"fax_number": "704-932-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "559 JACKSON PARK RD",
"address_2": "KANNAPOLIS INT MED",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280833657",
"telephone_number": "704-932-1155",
"fax_number": "704-932-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSER",
"first_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2013-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "9400945",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN, GROUP",
"identifier": "232009",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8960917",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kannapolis, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.