NPIMap

Individual provider Active NPI

Melin J Moses, MD

  • Family Medicine Physician
  • Huntington, WV
National Provider Identifier
1104825512
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19364 Issued in WV
Practice address
2959 3Rd Ave
Huntington, WV 25702-1401
Phone
(304) 781-3589
Fax
(304) 781-3592
NPI assigned
Jul 18, 2005
Last updated
Oct 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19364 WV Primary

Addresses

Primary practice location

2959 3Rd Ave
Huntington, WV 25702-1401

Mailing address

2959 3Rd Ave
Huntington, WV 25702-1401
Phone (304) 781-3589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20061218000106 WV Practitioner - General Practice 0345217618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Loma Linda University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2959 3Rd Ave
Huntington, WV 25702-1401
Phone (304) 781-3589

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.92 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19364WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Racine Observation Medical Group, PLLC CurrentSince Jun 24, 2017 Accepting new patients
St. Mary's Medical Management, LLC PastSince Jul 1, 2006 Accepting new patients

Locations

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1104825512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 3RD AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021401",
            "telephone_number": "304-781-3589",
            "fax_number": "304-781-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 3RD AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021401",
            "telephone_number": "304-781-3589",
            "fax_number": "304-781-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "MELIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "19364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.