Active NPI
Kai H Moy, MD
- Pediatrics Physician
- Harrisburg, PA
National Provider Identifier
1073571899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD043806E
- Practice address
- 2645 N 3Rd St
Harrisburg, PA 17110-2001 - Phone
- (717) 782-4650
- Fax
- (717) 782-4665
- NPI assigned
- May 2, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD043806E | PA | Primary |
Addresses
Primary practice location
2645 N 3Rd St
Harrisburg, PA 17110-2001
Mailing address
800 Heritage Dr
Ste 810
Pottstown, PA 19464-9220
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 569705 | Other | PA | HIGHMARK |
| 001171094 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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 |
|---|---|---|---|
| MD043806E | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health and Dental Care, Inc | Current | Accepting new patients | |
| Community Health and Dental Care, Inc | Current | Accepting new patients | |
| Community Health and Dental Care, Inc | Past | Accepting new patients |
Locations
351 W Schuylkill Rd
Ste G15A
Pottstown, PA 19465
Phone (484) 948-3097
700 Heritage Dr
Ste 701
Pottstown, PA 19464
Phone 6103269460193
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Pottstown, PA
- NPI 1295994341
-
- Federally Qualified Health Center (FQHC)
- Boyertown, PA
- NPI 1548034663
-
- Federally Qualified Health Center (FQHC)
- Pottstown, PA
- NPI 1447787585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482969600000",
"number": "1073571899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 HERITAGE DR",
"address_2": "STE 810",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194649220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2645 N 3RD ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171102001",
"telephone_number": "717-782-4650",
"fax_number": "717-782-4665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOY",
"first_name": "KAI",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2016-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD043806E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "569705",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001171094",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.