Individual provider Active NPI

Norman Otis Moser, D.O.

  • Nephrology Physician
  • Lima, OH
National Provider Identifier
1093795650
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
34005388M Issued in OH
Practice address
750 W High St
Suite 150
Lima, OH 45801-3959
Phone
(419) 227-1359
Fax
(419) 227-7586
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 34005388M OH Primary

Addresses

Primary practice location

750 W High St
Suite 150
Lima, OH 45801-3959

Mailing address

PO Box 636930
Cincinnati, OH 45263-6930
Phone (513) 981-5123

Other identifiers 1

IdentifierTypeStateIssuer
0848695MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040802001310 OH Practitioner - NephrologyPractitioner - Internal Medicine 9638087901 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Lima, LLCGroup PAC ID 3375607351, 54 clinicians

Practice addresses (Care Compare)

750 W High St
Suite 150
Lima, OH 45801-3961
Phone (419) 227-1359

Hospital & facility affiliations

  • Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5388OHMDRegistered Dietitian
34005388MOHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians-North LLC CurrentSince Oct 15, 2019 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince Sep 1, 2020 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Oct 15, 2019 Accepting new patients
Kidney & Hypertension Associates, Inc. Nephrology Current Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Kidney Services of West Central Ohio LTD PastSince Oct 1, 2002 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

967 Bellefontaine Ave
Ste 101
Lima, OH 45804

770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069

750 W High St
Ste 150
Lima, OH 45801

750 W High St
Ste 250
Lima, OH 45801
Phone (419) 227-7399

770 W High St
Lima, OH 45801
Phone (419) 996-5240

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

750 W High St
Ste 120
Lima, OH 45801

27 St Lawrence Dr
Ste 201
Tiffin, OH 44883
Phone (419) 455-8500

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

Interoperability endpoints

  • Direct secure messaging: nmoser55371@direct.bsmhealth.org

Organizations & group practices 9

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 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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1093795650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636930",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636930",
            "telephone_number": "513-981-5123",
            "fax_number": "513-981-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W HIGH ST",
            "address_2": "SUITE 150",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458013959",
            "telephone_number": "419-227-1359",
            "fax_number": "419-227-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSER",
        "first_name": "NORMAN",
        "middle_name": "OTIS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "34005388M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0848695",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.