Individual provider Active NPI

Moises Lichtinger, MD

  • Obstetrics & Gynecology Physician
  • Ft. Lauderdale, FL
National Provider Identifier
1205843919
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
69035 Issued in WI
Practice address
4701 N Federal Highway
BLG B
Ft. Lauderdale, FL 33308
Phone
(954) 229-6000
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME39493 FL
Obstetrics & Gynecology Physician 207V00000X 69035 WI Primary

Addresses

Primary practice location

4701 N Federal Highway
BLG B
Ft. Lauderdale, FL 33308

Mailing address

4701 N Federal Highway
BLG B
Ft. Lauderdale, FL 33308
Phone (954) 229-6000

Other practice location 1

505 Gopher Dr
Tomah, WI 54660-4513
Phone (608) 372-4111

Other identifiers 1

IdentifierTypeStateIssuer
066711100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081103000568 FL Practitioner - Obstetrics/Gynecology 9032278254 Reassigns benefits to 3 organizations
I20240723000931 WI Practitioner - Obstetrics/Gynecology 9032278254 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME39493FLMDObstetrics & Gynecology Physician
69035WIMDObstetrics & Gynecology Physician
39493FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Lutheran Express Care, Inc CurrentSince Jul 19, 2024 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Aug 8, 2017 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Aug 8, 2017 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
Gundersen Clinic LTD CurrentSince Jul 19, 2024 Accepting new patients
University of Miami Current Accepting new patients
OBGYN Comprehensive Care, P.a. Obstetrics & Gynecology CurrentSince Sep 19, 2020 Accepting new patients
University of Miami Obstetrics & Gynecology CurrentSince Apr 1, 2021 Accepting new patients
University of Miami CurrentSince Apr 1, 2021 Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

6701 Sunset Dr
Ste 109
South Miami, FL 33143
Phone (305) 763-8768

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

505 Gopher Dr
Tomah, WI 54660
Phone (608) 372-2181

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mlichtinger887519@direct.gundersenhealth.org
  • Direct secure messaging: mlichtinger90396@direct.med.miami.edu
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: mlichtinger887882@direct.gundersenhealth.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1205843919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 N FEDERAL HIGHWAY",
            "address_2": "BLG B",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-229-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 N FEDERAL HIGHWAY",
            "address_2": "BLG B",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-229-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Gopher Dr",
            "address_purpose": "LOCATION",
            "city": "Tomah",
            "state": "WI",
            "postal_code": "546604513",
            "country_code": "US",
            "telephone_number": "608-372-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LICHTINGER",
        "first_name": "MOISES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2024-07-10",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME39493",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "69035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066711100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft. Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.