Active NPI
Tamara Annell Moseley, DPM
- Podiatrist
- San Angelo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2057
- Practice address
- 3555 Knickerbocker Rd
San Angelo, TX 76904-7610 - Phone
- (325) 658-1511
- NPI assigned
- May 14, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 2057 | TX | Primary |
Addresses
Primary practice location
3555 Knickerbocker Rd
San Angelo, TX 76904-7610
Mailing address
1100 Wilford Hall Loop BLDG 4554
Jbsa Lackland, TX 78236-5638
Phone (210) 292-4939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2057 | Other | TX | STATE BOARD OF PODIATRIC MEDICAL EXAMINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The West Texas Rehabilitation Center
Practice addresses (Care Compare)
306 W 3Rd St
Big Spring, TX 79720-2429
Phone (432) 267-3806
3555 Knickerbocker Rd
San Angelo, TX 76904-7610
Phone (325) 747-1511
4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.63 of 100
- Quality
- 78.21
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 67.22
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shannon Clinic | Current | Accepting new patients | |
| Moseley Chiropractic and Wellness Center PLLC | Past | Accepting new patients |
Locations
3555 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 224-5411
120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511
Organizations & group practices 3
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.
-
- Family Medicine Physician
- San Angelo, TX
- NPI 1770587149
-
- Rehabilitation Clinic/Center
- Big Spring, TX
- NPI 1760486708
-
- Chiropractor
- Dallas, TX
- NPI 1932806080
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Angelo, TX
- NPI 1992707228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1245676469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 WILFORD HALL LOOP BLDG 4554",
"city": "JBSA LACKLAND",
"state": "TX",
"postal_code": "782365638",
"telephone_number": "210-292-4939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3555 KNICKERBOCKER RD",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769047610",
"telephone_number": "325-658-1511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSELEY",
"first_name": "TAMARA",
"middle_name": "ANNELL",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-14",
"last_updated": "2022-07-15",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "2057",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF PODIATRIC MEDICAL EXAMINERS",
"identifier": "2057",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.