Nicholas David Mosca, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

37081 Issued in OK

Practice address

8900 SE 15TH St
Midwest City, OK 73110-8002

Phone

(405) 844-4300

NPI assigned

Jun 18, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

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.

• Deng Family Medicine Center, PC

  • Primary Care Clinic/Center
  • Midwest City, OK
  • NPI 1790937803
  Medicare reassignment NPD
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1225568777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 SE 15TH ST",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731108002",
            "telephone_number": "405-844-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 SE 15TH ST",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731108002",
            "telephone_number": "405-844-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24911 Little Mack Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Saint Clair Shores",
            "state": "MI",
            "postal_code": "480803200",
            "country_code": "US",
            "telephone_number": "586-777-2050",
            "fax_number": "586-777-2189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Renaissance Blvd",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730133022",
            "country_code": "US",
            "telephone_number": "405-844-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSCA",
        "first_name": "NICHOLAS",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-18",
        "last_updated": "2022-07-21",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301113168",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "37081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Morganti, COTA
• Morning Calm, Inc. (Visiting Angels of SE OKC)
• Malegra Morris-Darby, REGISTERED NURSE
• Nicole Morris, BACB
• Robert Morris, DPT
• Timothy J Moser, D.O.
• John Phillip Moss, DPH
• Bettye Jean Moulden
• MTB Management, LLC
• Taneal Nicole Mukes, BACHELORS

• Family Medicine Physician in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.