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Individual provider Active NPI

Arthur Moeller Jr., D.O.

  • Facial Plastic Surgery Physician
  • Madison Heights, MI
National Provider Identifier
1174556880
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
5101018598 Issued in MI
Practice address
27351 Dequindre Rd
Madison Heights, MI 48071-3487
Phone
(248) 967-7795
NPI assigned
Jul 8, 2006
Last updated
Jul 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 5101018598 MI Primary

Addresses

Primary practice location

27351 Dequindre Rd
Madison Heights, MI 48071-3487

Mailing address

27351 Dequindre Rd
Madison Heights, MI 48071-3487
Phone (248) 967-7795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150731015930 SD Practitioner - Otolaryngology 7517068380 Reassigns benefits to 1 organization
I20151105000070 NE Practitioner - Otolaryngology 7517068380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health ServicesGroup PAC ID 6103729066, shared by 17 NPIs, 151 clinicians

Practice addresses (Care Compare)

1503 Main St
Creighton, NE 68729-3007
Phone (605) 668-8601

409 Summit St
Suite 3200
Yankton, SD 57078-3736
Phone (605) 655-1220

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
1394NEMDRegistered Dietitian
22982COMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health Services CurrentSince Jul 1, 2015 Accepting new patients
Sacred Heart Health Services CurrentSince Jul 1, 2015 Accepting new patients
Sacred Heart Health Services CurrentSince Nov 1, 2015 Accepting new patients
Sacred Heart Health Services Current Accepting new patients
First Choice Urgent Care PC Past Accepting new patients

Locations

1503 Main St
Creighton, NE 68729
Phone (402) 358-5700

1000 W 4th St
Ste 8
Yankton, SD 57078
Phone (605) 655-1201

409 Summit St
Ste 2500
Yankton, SD 57078
Phone (605) 655-1710

409 Summit St
Ste 3200
Yankton, SD 57078
Phone (605) 655-1220

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

Interoperability endpoints

  • Direct secure messaging: arthur.moeller@avera.sdhealthlink.net

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avera Sacred Heart HospitalYankton, SD, CCN 43U012 Hospital Corporate Director Jul 1, 2024
Avera Sacred Heart HospitalYankton, SD, CCN 430012 Hospital Corporate Director Jul 1, 2024
Avera Creighton HospitalCreighton, NE, CCN 281331 Hospital Corporate Director Jan 1, 2025
Avera Creighton HospitalCreighton, NE, CCN 28Z331 Hospital Corporate Director Jan 1, 2025
Avera Sister James Care CenterYankton, SD, CCN 435070 Skilled nursing facility Corporate Director Jul 1, 2024
Avera Hartington ClinicHartington, NE, CCN 283428 Rural health clinic Corporate Director Jan 1, 2025
Avera Crofton ClinicCrofton, NE, CCN 283427 Rural health clinic Corporate Director Jan 1, 2025
Avera Medical Group VerdigreVerdigre, NE, CCN 283466 Rural health clinic Corporate Director Jul 1, 2024
Avera Medical Group PiercePierce, NE, CCN 288509 Rural health clinic Corporate Director Jul 1, 2024

Owned or controlled facilities with NPI records 15

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 15

Organizations & group practices 5

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 11

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1174556880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27351 DEQUINDRE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713487",
            "telephone_number": "248-967-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27351 DEQUINDRE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713487",
            "telephone_number": "248-967-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "ARTHUR",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "MI",
            "license": "5101018598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.