Individual provider Active NPI

Max L Moss, MD

  • Diagnostic Radiology Physician
  • Murfreesboro, TN
National Provider Identifier
1255437471
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
23486 Issued in TN
Practice address
212 Heritage Park Dr
Murfreesboro, TN 37129-1549
Phone
(615) 893-5022
Fax
(615) 893-7184
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 23486 TN Primary

Addresses

Primary practice location

212 Heritage Park Dr
Murfreesboro, TN 37129-1549

Mailing address

PO Box 1039
Murfreesboro, TN 37133-1039
Phone (615) 893-5022

Other identifiers 1

IdentifierTypeStateIssuer
3073071MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20040716000461 TN Practitioner - Diagnostic Radiology 3971580226 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23486TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology CurrentSince Jul 12, 1993 Accepting new patients

Locations

212 Heritage Park Dr
Murfreesboro, TN 37129
Phone (615) 893-5022

1840 Medical Center Pkwy
Ste 100
Murfreesboro, TN 37129
Phone (615) 848-0488

1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1255437471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1039",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371331039",
            "telephone_number": "615-893-5022",
            "fax_number": "615-893-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 HERITAGE PARK DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291549",
            "telephone_number": "615-893-5022",
            "fax_number": "615-893-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "MAX",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "23486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3073071",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.