Individual provider Active NPI

Daniel M. Moshos, D.O.

  • Legal Medicine (M.D./D.O.) Physician
  • Wilmington, OH
National Provider Identifier
1245370006
Registry record updated Sep 11, 2025
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(2) exclusion effective Apr 20, 2010.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Legal Medicine (M.D./D.O.) PhysicianTaxonomy code 209800000X
License
34005373M Issued in OH
Practice address
2241 Rombach Ave
Wilmington, OH 45177-1995
Phone
(937) 382-7785
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34005373M OH
Occupational Medicine Physician 2083X0100X 34005373M OH
Legal Medicine (M.D./D.O.) Physician 209800000X 34005373M OH Primary

Addresses

Primary practice location

2241 Rombach Ave
Wilmington, OH 45177-1995

Mailing address

1800 Clarissa Ave
Kettering, OH 45429-4215
Phone (937) 299-2929

Other identifiers 1

IdentifierTypeStateIssuer
0850520MedicaidOH

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34005373MOHMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1245370006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 CLARISSA AVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454294215",
            "telephone_number": "937-299-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 ROMBACH AVE",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451771995",
            "telephone_number": "937-382-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHOS",
        "first_name": "DANIEL",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34005373M",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OH",
            "license": "34005373M",
            "primary": false
        },
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "OH",
            "license": "34005373M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0850520",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

Verify at the official NPI Registry.