Individual provider Active NPI

Richard J Mosychuk, D.O.

  • Family Medicine Physician
  • Mashpee, MA
National Provider Identifier
1285681973
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
210923 Issued in MA
Practice address
34 Bates Rd
Suite 202
Mashpee, MA 02649-3280
Phone
(508) 539-3353
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 210923 MA Primary

Addresses

Primary practice location

34 Bates Rd
Suite 202
Mashpee, MA 02649-3280

Mailing address

34 Bates Rd
Suite 202
Mashpee, MA 02649-3280
Phone (508) 539-3353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040218000357 MA Practitioner - Family Practice 7911811021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

34 Bates Rd
Suite 202
Mashpee, MA 02649-3280
Phone (508) 539-3353

Hospital & facility affiliations

  • Vna of Cape Cod Home health agency, South Dennis, MA, CCN 227067
  • Falmouth Hospital Hospital, Falmouth, MA, CCN 220135

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210923MAMDFamily Medicine Physician
3061AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Cod Family Practice & Sports Medicine, P.C. Family Medicine CurrentSince Sep 1, 2001 Accepting new patients
Robert R Moore MD PHD PC Past Accepting new patients

Locations

34 Bates Rd
#202
Mashpee, MA 02649
Phone (508) 539-3353

19 Steeple St
Mashpee, MA 02649
Phone (508) 477-4400

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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 2

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1285681973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BATES RD",
            "address_2": "SUITE 202",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493280",
            "telephone_number": "508-539-3353",
            "fax_number": "508-539-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BATES RD",
            "address_2": "SUITE 202",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493280",
            "telephone_number": "508-539-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSYCHUK",
        "first_name": "RICHARD",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "210923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mashpee, MA

Sources for this page

Verify at the official NPI Registry.