Individual provider Active NPI

Robert Moser, MD

  • Internal Medicine Physician
  • Kannapolis, NC
National Provider Identifier
1023080934
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9400945 Issued in NC
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

Updated by the provider on Apr 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
232009OtherNCMEDICARE PTAN, GROUP
8960917MedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070707000037 NC Practitioner - Internal Medicine 3779683610 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9400945NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte-Mecklenburg Hospital Authority Internal Medicine CurrentSince Dec 1, 2013 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Dec 1, 2013 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.

View all 16

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

Verify at the official NPI Registry.