Individual provider Active NPI

Jonathan Matthew Moss, DPM

  • Foot & Ankle Surgery Podiatrist
  • Medina, OH
National Provider Identifier
1295394294
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.004060 Issued in OH
Practice address
6392 Equestrian TRL
Medina, OH 44256-7421
Phone
(330) 975-0004
NPI assigned
Jun 12, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 36.004060 OH Primary

Addresses

Primary practice location

6392 Equestrian TRL
Medina, OH 44256-7421

Mailing address

6392 Equestrian TRL
Medina, OH 44256-7421
Phone (330) 975-0004

Other practice location 1

365 Riffel Rd Ste A
Wooster, OH 44691-8592
Phone (330) 345-5500

Other identifiers 1

IdentifierTypeStateIssuer
0007269MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220621002721 OH Practitioner - Podiatry 8820477961 Reassigns benefits to 2 organizations
I20240624004004 CA Practitioner - Podiatry 8820477961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum Podiatry ServicesGroup PAC ID 9133662786, 3 clinicians
Jeffrey S Wunning DPM LLCGroup PAC ID 8224359674, 3 clinicians

Practice addresses (Care Compare)

Medina, OH 44256
Phone (330) 975-0004

2445 McCabe Way
Suite 130
Irvine, CA 92614-4299
Phone (714) 404-5641

365 Riffel Rd
Suite a
Wooster, OH 44691-8592
Phone (330) 345-5500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue482
Removal of skin lesions11
Removal of nail tissue1304
Removal or shaving of skin growth249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.004060OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Podiatry Services Inc Single Specialty CurrentSince May 7, 2024 Accepting new patients
Jeffrey S. Wunning, DPM, LLC Single Specialty CurrentSince Jul 31, 2023 Accepting new patients
Seville Podiatry Services LLC Single Specialty CurrentSince Apr 21, 2025 Accepting new patients
Optimum Podiatry Services Single Specialty CurrentSince May 1, 2024 Accepting new patients

Locations

16815 Von Karman Ave
Ste 160
Irvine, CA 92606
Phone (714) 404-5641

2445 McCabe Way
Ste 130
Irvine, CA 92614
Phone (714) 404-5641

18 E Main St
Seville, OH 44273
Phone (330) 769-2941

365 Riffel Rd
Ste A
Wooster, OH 44691
Phone (330) 345-5500

Interoperability endpoints

  • Direct secure messaging: jmoss560584@ehrdirect.uhhospitals.org

Organizations & group practices 4

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": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1295394294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6392 EQUESTRIAN TRL",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442567421",
            "telephone_number": "330-975-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6392 EQUESTRIAN TRL",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442567421",
            "telephone_number": "330-975-0004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 Riffel Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Wooster",
            "state": "OH",
            "postal_code": "446918592",
            "country_code": "US",
            "telephone_number": "330-345-5500",
            "fax_number": "330-345-7793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSS",
        "first_name": "JONATHAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-12",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.004060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007269",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.