Active NPI
Stephen Andrew Moses, M.D.
- Family Medicine Physician
- Cynthiana, KY
National Provider Identifier
1124055876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- TP521
- Practice address
- 430 E Pleasant St
Cynthiana, KY 41031-1614 - Phone
- (859) 234-3282
- Fax
- (859) 234-3778
- NPI assigned
- Jun 27, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TP521 | KY | Primary |
Addresses
Primary practice location
430 E Pleasant St
Cynthiana, KY 41031-1614
Mailing address
430 E Pleasant St
Cynthiana, KY 41031-1614
Phone (859) 234-3282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40169 | Other | KY | KY MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070219000539 | KY | Practitioner - Family Practice | 0345297529 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Louisville School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Medical Group Inc
Practice addresses (Care Compare)
210 Bevins LN
Georgetown, KY 40324-6127
210 Bevins LN C
Georgetown, KY 40324-6127
Phone (502) 868-0622
96 Future Dr
Corbin, KY 40701-8988
Phone (606) 528-0305
Hospital & facility affiliations
- Centerwell Home Health
- Caretenders
- Hospice of the Bluegrass, Inc Dba Bluegrass Care N
- Harrison Memorial Hospital
- Baptist Health Lexington
- Georgetown Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Washington Hospital | Past | Accepting new patients |
Locations
96 Future Dr
Corbin, KY 40701
210 Bevins Ln
Ste C
Georgetown, KY 40324
Phone (502) 868-0622
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 and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Hopkinsville, KY
- NPI 1174091763
-
- Emergency Medical Services (Emergency Medicine) Physician
- Washington, PA
- NPI 1639133861
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lexington, KY
- NPI 1841474590
-
- Home Health Agency
- Lexington, KY
- NPI 1730112418
-
- Community Based Hospice Care Agency
- Lexington, KY
- NPI 1861538209
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1124055876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 E PLEASANT ST",
"city": "CYNTHIANA",
"state": "KY",
"postal_code": "410311614",
"telephone_number": "859-234-3282",
"fax_number": "859-234-3778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 E PLEASANT ST",
"city": "CYNTHIANA",
"state": "KY",
"postal_code": "410311614",
"telephone_number": "859-234-3282",
"fax_number": "859-234-3778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSES",
"first_name": "STEPHEN",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "TP521",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY MEDICAL LICENSE",
"identifier": "40169",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cynthiana, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.