Individual provider Active NPI

Moises Rimmer Cossio, D.O.

  • Pulmonary Disease Physician
  • Roanoke, VA
National Provider Identifier
1265405260
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0102201314 Issued in VA
Practice address
2001 Crystal Spring Ave SW
Suite 205
Roanoke, VA 24014-2462
Phone
(540) 985-8505
Fax
(540) 344-3313
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0102201314 VA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 0102201314 VA
Pulmonary Disease Physician 207RP1001X 0102201314 VA Primary

Addresses

Primary practice location

2001 Crystal Spring Ave SW
Suite 205
Roanoke, VA 24014-2462

Mailing address

PO Box 936
Norfolk, VA 23501-0936
Phone (757) 446-5758

Other identifiers 16

IdentifierTypeStateIssuer
PAROtherVAUSA MANAGED CARE
PAROtherVACIGNA
PAROtherVAAETNA
00864OtherNCMEDICAID BC BS
PAROtherVACORVEL/CORCARE
PAROtherVAVIRGINIA PREMIER HEALTH
PAROtherVAVIRGINIA HEALTH NETWORK
VV1744AOtherVAMEDICARE
177113OtherVAANTHEM
96131OtherVASENTARA OPTIMA
PAROtherVAFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
3159697OtherVAUHC/MAMSI
-029OtherVATRICARE/CHAMPUS
010160511MedicaidVA
5900864MedicaidNC
PAROtherVAMULTIPLAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcossio16023@direct.carilionclinic.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20041228000060 VA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2769440585 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians

Practice addresses (Care Compare)

2001 Crystal Spring Ave SW
Suite 300
Roanoke, VA 24014-2465
Phone (540) 342-7941

2900 Lamb Cir
Christiansburg, VA 24073-6344

2900 Lamb CR
Suite 7 700B
Christiansburg, VA 24073-6344
Phone (540) 731-7450

6415 Peters Creek Rd
Roanoke, VA 24019-4021
Phone (703) 562-2110

981 Litton LN
Blacksburg, VA 24060-6340
Phone (540) 558-2400

Hospital & facility affiliations

  • Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
  • Carilion New River Valley Medical Center Hospital, Christiansburg, VA, CCN 490042
  • Carilion Franklin Memorial Hospital Hospital, Rocky Mount, VA, CCN 490089

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Sep 25, 2017 Accepting new patients
Carilion Healthcare Corporation CurrentSince Sep 25, 2017 Accepting new patients
Winchester Medical Center CurrentSince Sep 1, 2016 Accepting new patients
Carilion Franklin Memorial Hospital CurrentSince Apr 25, 2024 Accepting new patients
Carilion Medical Center CurrentSince Sep 25, 2017 Accepting new patients
Carilion Franklin Memorial Hospital CurrentSince Apr 25, 2024 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Apr 25, 2024 Accepting new patients
Carilion Healthcare Corporation CurrentSince Sep 25, 2017 Accepting new patients
Winchester Medical Center Critical Care Medicine CurrentSince Sep 1, 2016 Accepting new patients
Carilion Medical Center Past Accepting new patients
Mid-Atlantic Womens Care PLC Past Accepting new patients
Virginia Medical Specialist, PLC Pulmonary Disease PastSince Apr 25, 2021 Accepting new patients

Locations

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

2001 Crystal Spring Ave SW
Ste 205
Roanoke, VA 24014
Phone (540) 985-8505

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

2001 Crystal Spring Ave SW
Ste 300
Roanoke, VA 24014
Phone (540) 342-7941

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

180 Floyd Ave
Rocky Mount, VA 24151
Phone (540) 483-5277

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

Organizations & group practices 12

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1265405260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235010936",
            "telephone_number": "757-446-5758",
            "fax_number": "757-446-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CRYSTAL SPRING AVE SW",
            "address_2": "SUITE 205",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240142462",
            "telephone_number": "540-985-8505",
            "fax_number": "540-344-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSSIO",
        "first_name": "MOISES",
        "middle_name": "RIMMER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102201314",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VA",
            "license": "0102201314",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0102201314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA MANAGED CARE",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID BC BS",
            "identifier": "00864",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORVEL/CORCARE",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PREMIER HEALTH",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA HEALTH NETWORK",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "VV1744A",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "177113",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA OPTIMA",
            "identifier": "96131",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC/MAMSI",
            "identifier": "3159697",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "-029",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010160511",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900864",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "PAR",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcossio16023@direct.carilionclinic.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mcossio16023@direct.carilionclinic.org",
            "address_1": "2001 Crystal Spring Ave SW",
            "address_2": "Suite 205",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240142462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.