Jacob L Moskovic, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036-040989 Issued in IL

Practice address

121 S Wilke Rd Ste 226
Arlington Heights, IL 60005-1530

Phone

(847) 590-0050

Fax

(847) 590-0080

NPI assigned

Jun 28, 2006

Last updated

Jan 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacob.moskovic@jmm-il.direct.office.nextgen.com

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.

• Arvind Patel M.D.S.C.

  • Multi-Specialty Clinic/Center
  • Des Plaines, IL
  • NPI 1174549943
  Medicare reassignment NPD
• Jacob L. Moskovic, M.D. S.C.

  • Mental Health Counselor
  • Arlington Heights, IL
  • NPI 1144345471
  Authorized official Same address or phone

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1205863792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S WILKE RD STE 226",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051530",
            "telephone_number": "847-590-0050",
            "fax_number": "847-590-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S WILKE RD STE 226",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051530",
            "telephone_number": "847-590-0050",
            "fax_number": "847-590-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKOVIC",
        "first_name": "JACOB",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2024-01-29",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-040989",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "IL",
            "license": "036-040989",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "IL",
            "license": "036-040989",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36040989",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Agnieszka Moroni, , MOT, OTR/L
• Rizza Joy Morta, DPT
• Jill Ann Moscato, APN-NP
• Luis Rafael Moscote Salazar
• Ashley Elizabeth Moseley, LPC
• Brian Harris Moss, DO
• John Moss, LCSW
• Brandon Motter
• George Salvatore Motto, M.D.
• Move It Physical Therapy Inc.

• Psychiatry Physician in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.