Individual provider Active NPI

Jeremy Milton Moses, MD

  • Surgery Physician
  • North Chelmsford, MA
National Provider Identifier
1063487114
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
220948 Issued in MA
Practice address
14 Research PL
North Chelmsford, MA 01863-2412
Phone
(978) 454-0706
Fax
(978) 970-0454
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 220948 MA Primary

Addresses

Primary practice location

14 Research PL
North Chelmsford, MA 01863-2412

Mailing address

14 Research PL
North Chelmsford, MA 01863-2412
Phone (978) 454-0706

Other identifiers 3

IdentifierTypeStateIssuer
468328OtherMATUFTS HEALTH PLAN
J28858OtherMABCBS MA
2103648MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050811000875 MA Practitioner - Orthopedic Surgery 7214966928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Harvard Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14 Research PL
North Chelmsford, MA 01863-2460
Phone (978) 454-0706

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Surgical Associates of Lowell, P.C. CurrentSince Sep 1, 2006 Accepting new patients
Orthopaedic Surgical Associates of Lowell, P.C. CurrentSince Sep 1, 2006 Accepting new patients

Locations

222 Merrimack St
Ste 300
Lowell, MA 01852
Phone (508) 454-0706

14 Research Pl
North Chelmsford, MA 01863
Phone (978) 256-6607

506 Groton Rd
Westford, MA 01886
Phone (978) 399-0061

2 Lan Dr
Westford, MA 01886

Interoperability endpoints

  • Direct secure messaging: jmoses31427@tuftsmedicine.direct-ci.com
  • Direct secure messaging: jeremy.moses.1@1154.direct.athenahealth.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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1063487114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RESEARCH PL",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018632412",
            "telephone_number": "978-454-0706",
            "fax_number": "978-970-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RESEARCH PL",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018632412",
            "telephone_number": "978-454-0706",
            "fax_number": "978-970-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "JEREMY",
        "middle_name": "MILTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "220948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "468328",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J28858",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2103648",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.