Active NPI
Robert P Moser Jr., M.D.
- Family Medicine Physician
- Great Bend, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04-21464
- Practice address
- 3515 Broadway Ave
Great Bend, KS 67530-3633 - Phone
- (620) 603-7398
- Fax
- (620) 796-2274
- NPI assigned
- Aug 31, 2006
- Last updated
- Jun 9, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-21464 | KS | Primary |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 04-21464 | KS |
Addresses
Primary practice location
3515 Broadway Ave
Great Bend, KS 67530-3633
Mailing address
1809 E 27TH St
Hays, KS 67601-2148
Phone (785) 621-6556
Other practice location 1
1809 E 27th St
Hays, KS 67601-2148
Phone (785) 621-6556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
514 Cleveland St
Great Bend, KS 67530-3562
Phone (620) 792-8833
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-21464 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ukhs Great Bend, LLC | Family Medicine | Current | Accepting new patients |
| Greeley County Health Services, Inc | Past | Accepting new patients | |
| Greeley County Health Services Inc | Past | Accepting new patients | |
| Mid-America Cardiology Associates, Inc. | Past | Accepting new patients | |
| Hamilton County Hospital | Past | Accepting new patients | |
| University of Kansas School of Medicine Wichita Medical Practice Assoc | Family Medicine | Past | Accepting new patients |
Locations
3515 Broadway Ave
Great Bend, KS 67530
Phone (620) 786-6163
514 Cleveland St
Great Bend, KS 67530
Phone (620) 659-2890
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/greelco-fe371fba
Organizations & group practices 6
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.
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Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1235241779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 E 27TH ST",
"city": "HAYS",
"state": "KS",
"postal_code": "676012148",
"telephone_number": "785-621-6556",
"fax_number": "857-621-4164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 BROADWAY AVE",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675303633",
"telephone_number": "620-603-7398",
"fax_number": "620-796-2274"
}
],
"practiceLocations": [
{
"address_1": "1809 E 27th St",
"address_purpose": "LOCATION",
"city": "Hays",
"state": "KS",
"postal_code": "676012148",
"country_code": "US",
"telephone_number": "785-621-6556",
"fax_number": "785-621-4164",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSER",
"first_name": "ROBERT",
"middle_name": "P",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-21464",
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "KS",
"license": "04-21464",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Bend, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.