NPIMap

Individual provider Active NPI

Fred M Moeslein, MD, PHD

  • Vascular & Interventional Radiology Physician
  • Columbus, OH
National Provider Identifier
1053435321
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
35.087689 Issued in OH
Practice address
100 E Campus View Blvd Ste 100
Columbus, OH 43235-8628
Phone
(614) 384-7177
Fax
(614) 947-8309
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X MD431732 MD
Vascular & Interventional Radiology Physician 2085R0204X 35.087689 OH Primary
Specialist 174400000X MD431732 PA

Addresses

Primary practice location

100 E Campus View Blvd Ste 100
Columbus, OH 43235-8628

Mailing address

100 E Campus View Blvd Ste 100
Columbus, OH 43235-8628
Phone (614) 384-7177

Other practice location 1

335 Glessner Ave
Mansfield, OH 44903-2269
Phone (567) 241-7000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address fmoeslein875091@direct.ohiohealth.com Direct OhioHealth Corporation
Direct Messaging Address fmoeslein875091@direct.ohiohealth.com Direct OhioHealth Physician Group, Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230117001705 OH Practitioner - Diagnostic Radiology 7517059561 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians

Practice addresses (Care Compare)

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MD431732MDMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Area Physicians LLC CurrentSince May 1, 2024 Accepting new patients
Ohiohealth Corporation CurrentSince May 1, 2024 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Intercoastal Medical Group Inc CurrentSince May 1, 2017 Accepting new patients
Riverside Radiology and Interventional Associates Inc CurrentSince Dec 5, 2022 Accepting new patients
Ohiohealth Corporation Current Accepting new patients
Geisinger Clinic Current Accepting new patients
Ohiohealth Corporation CurrentSince May 1, 2024 Accepting new patients
Tower Imaging LLC Vascular & Interventional Radiology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Pinnacle Health Medical Services PastSince Nov 15, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390

2881 Hyde Park St
Fl First
Sarasota, FL 34239
Phone (941) 906-7155

943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644

100 E Campus View Blvd
Ste 100
Columbus, OH 43235
Phone (412) 359-8743

Dept L3652
Columbus, OH 43260

3525 Olentangy River Rd
Ste 5360
Columbus, OH 43214
Phone (614) 340-7747

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

1000 McKinley Park Dr
Marion, OH 43302
Phone (740) 383-8400

1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

100 N Academy Ave
Danville, PA 17822

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 12

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.

Hospital & facility affiliations 8

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1053435321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CAMPUS VIEW BLVD STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432358628",
            "telephone_number": "614-384-7177",
            "fax_number": "614-947-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CAMPUS VIEW BLVD STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432358628",
            "telephone_number": "614-384-7177",
            "fax_number": "614-947-8309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 Glessner Ave",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449032269",
            "country_code": "US",
            "telephone_number": "567-241-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOESLEIN",
        "first_name": "FRED",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MD",
            "license": "MD431732",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OH",
            "license": "35.087689",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD431732",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fmoeslein875091@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Corporation",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "335 Glessner Ave",
            "city": "Mansfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "449032269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fmoeslein875091@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "335 Glessner Ave",
            "city": "Mansfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "449032269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.