Individual provider Active NPI

Marc Daniel Moisi, MD

  • Neurological Surgery Physician
  • Detroit, MI
National Provider Identifier
1104078617
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
4301109519 Issued in MI
Practice address
4160 John R St Ste 930
Detroit, MI 48201
Phone
(313) 745-7247
Fax
(313) 993-0500
NPI assigned
Oct 15, 2008
Last updated
Jan 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 4301109519 MI Primary

Addresses

Primary practice location

4160 John R St Ste 930
Detroit, MI 48201

Mailing address

4160 John R St Ste 930
Detroit, MI 48201-2017
Phone (313) 831-0777

Other practice location 1

4160 John R St Ste 925
Detroit, MI 48201-2017
Phone (877) 486-7978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20170816002115 MI Practitioner - NeurosurgeryPractitioner - General Surgery 7719205343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurosurgeryAlso: General Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hurley Medical CenterGroup PAC ID 2961308481, 336 clinicians
Rau Physical Therapy IncGroup PAC ID 2365721339, 98 clinicians

Practice addresses (Care Compare)

1 Hurley Plasa
9W Hurley Maternal Fetal Medicine
Flint, MI 48503-5902
Phone (810) 262-4787

1 Hurley PLZ
Flint, MI 48503-5902

102 N Adelaide St
Fenton, MI 48430-2670
Phone (810) 262-6555

193 E Jefferson St
Frankenmuth, MI 48734-1935

G 1085 S Linden Rd
150 Hurley Clinical Psychaitrists
Flint, MI 48532-4069
Phone (810) 262-2100

G 1125 S Linden Rd
100 Hurley Vascular Surgery Group
Flint, MI 48532-4073
Phone (810) 262-6555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.4 of 100Reported as group
Quality
66.97
Promoting interoperability
100
Improvement activities
40
Cost
75.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion142
Laminectomy or laminotomy (partial removal of spine bones)74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301109519MIMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Physicians of Michigan CurrentSince Dec 14, 2018 Accepting new patients
Hurley Medical Center Current Accepting new patients
Hurley Medical Center Neurological Surgery CurrentSince Nov 1, 2021 Accepting new patients
Hurley Medical Center CurrentSince Nov 1, 2021 Accepting new patients
Hurley Medical Center Current Accepting new patients
Pathology Associates Inc PC Current Accepting new patients
Hurley Medical Center Current Accepting new patients
Hurley Medical Center Past Accepting new patients
Hurley Medical Center Past Accepting new patients
Hurley Medical Center Past Accepting new patients

Locations

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

4160 John R St
Ste 925
Detroit, MI 48201
Phone (313) 745-7247

4160 John R St
Ste 930
Detroit, MI 48201
Phone (313) 745-7247

102 N Adelaide St
Ste C
Fenton, MI 48430
Phone (810) 262-7030

102 N Adelaide St
Ste D
Fenton, MI 48430
Phone (810) 600-6270

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

1 Hurley Plz
#7B
Flint, MI 48503
Phone (810) 262-9355

Organizations & group practices 11

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 4

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": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1104078617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 JOHN R ST STE 930",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012017",
            "telephone_number": "313-831-0777",
            "fax_number": "313-993-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 JOHN R ST STE 930",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-745-7247",
            "fax_number": "313-993-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4160 John R St Ste 925",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012017",
            "country_code": "US",
            "telephone_number": "877-486-7978",
            "fax_number": "313-745-2777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOISI",
        "first_name": "MARC",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-15",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301109519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.