Organization Active NPI

Moss Restorative Foot & Ankle Center, PLLC

Doing business as Douglas Brian Moss

  • Podiatrist
  • St Petersburg, FL
National Provider Identifier
1114584125
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MOSS RESTORATIVE FOOT & ANKLE CENTER, PLLC
Doing business as
Douglas Brian Moss
Moss Podiatry
Practice address
7855 38TH Ave N Ste 200
St Petersburg, FL 33710-1134
Phone
(727) 302-9500
Fax
(949) 404-8237
NPI assigned
May 24, 2019
Last updated
May 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Dr. Douglas Brian Moss, DPMNPI 1609801687
Title
Physician Owner
Phone
(727) 641-2999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X Primary
Foot & Ankle Surgery Podiatrist 213ES0103X

Addresses

Primary practice location

7855 38TH Ave N Ste 200
St Petersburg, FL 33710-1134

Mailing address

PO Box 40002
St Petersburg, FL 33743-0002
Phone (727) 302-9500

Other identifiers 7

IdentifierTypeStateIssuer
1039020500MedicaidFL
213ES0103XOtherFLTAXONOMY CODE
11429703OtherFLCAQH
213E00000XOtherFLTAXONOMY CODE
340659800MedicaidFL
65963OtherFLBLUE CROSS BLUE SHIELD
T89762OtherUPIN

Other names 2

  • Douglas Brian Moss Doing business as
  • Moss Podiatry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL drmoss28@gmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190618000411 FL Part B Supplier - Clinic/Group Practice 3870826225 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Petersburg, FL

National Provider Directory

National Provider Directory

Locations

500 Martin Luther King St N
Ste 100
St Petersburg, FL 33705
Phone (727) 825-1771

7855 38th Ave N
Ste 200
St Petersburg, FL 33710
Phone (727) 302-9500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1114584125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40002",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337430002",
            "telephone_number": "727-302-9500",
            "fax_number": "949-404-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 38TH AVE N STE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101134",
            "telephone_number": "727-302-9500",
            "fax_number": "949-404-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSS RESTORATIVE FOOT & ANKLE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "727-641-2999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1039020500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "213ES0103X",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11429703",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "213E00000X",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340659800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "65963",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "T89762",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drmoss28@gmail.com",
            "affiliation": "N",
            "endpointDescription": "main e-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7855 38th Ave N Ste 200",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337101134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Douglas Brian Moss",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moss Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.