Active NPI
Motsumi Moja, MD
- Internal Medicine Physician
- Petersburg, VA
National Provider Identifier
1215915566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101045151
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00224524 | Other | VA | RAILROAD 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0101045151 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Specialty Pharmacy
- New Canton, VA
- NPI 1356302988
-
- Internal Medicine Physician
- Richmond, VA
- NPI 1659501187
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
- Mind Over Matter Services
- Raj K Mishra, M.D.
- Mission of Love Corp. (Advanced, Basic and Complex Home Care (ABC Home Care))
- Britney Mitchell, LPC, LSATP
- Kathryn Pearman Mock, LPTA
- Mark Edward Moore, O.D.
- Mooving You Along Transportation Service, LLC
- Diana Morales
- David C Morgan
- Lisa Dollene Morgan, CSAC-S, BS, QMHP
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.