Individual provider Active NPI

Daniel Neil Moretta, D.O.

  • Orthopaedic Hand Surgery Physician
  • Massillon, OH
National Provider Identifier
1174588180
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
34003505 Issued in OH
Practice address
3244 Bailey St NW
Massillon, OH 44646-3616
Phone
(330) 837-8391
Fax
(330) 837-6782
NPI assigned
Apr 20, 2006
Last updated
May 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 34003505 OH Primary

Addresses

Primary practice location

3244 Bailey St NW
Massillon, OH 44646-3616

Mailing address

3244 Bailey St NW
Massillon, OH 44646-3616
Phone (330) 837-8391

Other identifiers 1

IdentifierTypeStateIssuer
0530956MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040928000505 OH Practitioner - Orthopedic Surgery 7618946500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Ohio University, College of Osteopathic Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Specialty Physicians CorporationGroup PAC ID 3476643479, 67 clinicians

Practice addresses (Care Compare)

2037 Wales Rd NE
Suite 110
Massillon, OH 44646
Phone (330) 837-8300

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as group
Quality
77.5
Promoting interoperability
98
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34003505OHMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Specialty Physicians Corporation CurrentSince Apr 1, 2023 Accepting new patients
Ohio Specialty Physicians Corporation CurrentSince Apr 1, 2023 Accepting new patients
DHSC LLC Past Accepting new patients

Locations

2600 Tuscarawas St W
Ste 520
Canton, OH 44708
Phone (330) 454-0702

6100 Whipple Ave NW
North Canton, OH 44720
Phone (330) 305-6999

Interoperability endpoints

  • Direct secure messaging: daniel.moretta@direct.aultman.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1174588180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3244 BAILEY ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463616",
            "telephone_number": "330-837-8391",
            "fax_number": "330-837-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3244 BAILEY ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463616",
            "telephone_number": "330-837-8391",
            "fax_number": "330-837-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORETTA",
        "first_name": "DANIEL",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "OH",
            "license": "34003505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0530956",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.