Individual provider Active NPI

Daniel Mark Moscow, MD

  • Family Medicine Physician
  • Fort Washington, PA
National Provider Identifier
1124067350
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD060189-L Issued in PA
Practice address
1244 Fort Washington Ave Ste E2
Fort Washington, PA 19034-1743
Phone
(215) 646-1686
Fax
(215) 628-4956
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD060189L PA
Family Medicine Physician 207Q00000X MD060189-L PA Primary

Addresses

Primary practice location

1244 Fort Washington Ave Ste E2
Fort Washington, PA 19034-1743

Mailing address

1244 Fort Washington Ave Ste E2
Fort Washington, PA 19034-1743
Phone (215) 646-1686

Other identifiers 1

IdentifierTypeStateIssuer
001669066MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040412000043 PA Practitioner - Family Practice 7315931623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Practice Associates of Upper DublinGroup PAC ID 1850376211, 8 clinicians

Practice addresses (Care Compare)

1244 Fort Washington Ave
Suite E2
Fort Washington, PA 19034-1743
Phone (215) 646-1686

Hospital & facility affiliations

  • Jefferson Health at Home by Bayada Home health agency, Horsham, PA, CCN 397145
  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231
  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD060189-LPAMDFamily Medicine Physician
MD060189LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Associates of Upper Dublin Family Medicine CurrentSince Jun 23, 2018 Accepting new patients
Temple Physician Inc. Past Accepting new patients

Locations

1244 Fort Washington Ave
Ste E2
Ft Washington, PA 19034
Phone (215) 646-1686

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEFDBD/Endpoint/BEFDBD
  • Direct secure messaging: daniel.moscow@fpud.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BEFDBD

Organizations & group practices 2

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 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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124067350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 FORT WASHINGTON AVE STE E2",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190341743",
            "telephone_number": "215-646-1686",
            "fax_number": "215-628-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 FORT WASHINGTON AVE STE E2",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190341743",
            "telephone_number": "215-646-1686",
            "fax_number": "215-628-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCOW",
        "first_name": "DANIEL",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD060189L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD060189-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001669066",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, PA

Sources for this page

Verify at the official NPI Registry.