Individual provider Active NPI

Maxime G Moise, M.D.

  • Obstetrics & Gynecology Physician
  • Lewes, DE
National Provider Identifier
1053367771
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C10005406 Issued in DE
Practice address
431 Savannah Rd
Lewes, DE 19958-1460
Phone
(302) 644-9080
Fax
(302) 644-9088
NPI assigned
May 25, 2006
Last updated
Jul 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X C10005406 DE Primary

Addresses

Primary practice location

431 Savannah Rd
Lewes, DE 19958-1460

Mailing address

431 Savannah Road
Lewes, DE 19958-1460
Phone (302) 644-9080

Other identifiers 1

IdentifierTypeStateIssuer
0001198501MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20101229001094 DE Practitioner - Obstetrics/Gynecology 5294753570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17274 Coastal Hwy
Unit 1
Lewes, DE 19958-6324
Phone (302) 644-9080

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Delmed Health Obstetrics & Gynecology CurrentSince Jan 1, 1998 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

17274 Coastal Hwy
Unit 1
Lewes, DE 19958
Phone (302) 313-4660

34381 Carpenters Way
Lewes, DE 19958
Phone (302) 644-7201

431 Savannah Rd
Lewes, DE 19958
Phone (302) 644-4282

Interoperability endpoints

  • Direct secure messaging: maximemoise@dmhde.allscriptsdirect.net
  • Direct secure messaging: mmoise22760@beebehealth.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1053367771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 SAVANNAH ROAD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581460",
            "telephone_number": "302-644-9080",
            "fax_number": "302-644-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 SAVANNAH RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581460",
            "telephone_number": "302-644-9080",
            "fax_number": "302-644-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOISE",
        "first_name": "MAXIME",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "DE",
            "license": "C10005406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001198501",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.