Individual provider Active NPI

Motsumi Moja, MD

  • Internal Medicine Physician
  • Petersburg, VA
National Provider Identifier
1215915566
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101045151 Issued in VA
Practice address
301 Halifax St
Petersburg, VA 23803-6335
Phone
(804) 863-1652
Fax
(804) 957-5850
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101045151 VA Primary

Addresses

Primary practice location

301 Halifax St
Petersburg, VA 23803-6335

Mailing address

Highway 15 South
New Canton, VA 23123
Phone (434) 581-3271

Other identifiers 1

IdentifierTypeStateIssuer
P00224524OtherVARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101045151VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primedoc of Richmond PC Internal Medicine Past Accepting new patients
Central Virginia Health Services, Inc. Past Accepting new patients

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, 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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1215915566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HIGHWAY 15 SOUTH",
            "city": "NEW CANTON",
            "state": "VA",
            "postal_code": "23123",
            "telephone_number": "434-581-3271",
            "fax_number": "434-581-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HALIFAX ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238036335",
            "telephone_number": "804-863-1652",
            "fax_number": "804-957-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOJA",
        "first_name": "MOTSUMI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101045151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00224524",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.