Active NPI
Jonathan Matthew Moss, DPM
- Foot & Ankle Surgery Podiatrist
- Medina, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 36.004060
- 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
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007269 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 482 |
| Removal of skin lesions | 11 |
| Removal of nail tissue | 1304 |
| Removal or shaving of skin growth | 249 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36.004060 | OH | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Podiatry Services Inc | Single Specialty | Current | Accepting new patients |
| Jeffrey S. Wunning, DPM, LLC | Single Specialty | Current | Accepting new patients |
| Seville Podiatry Services LLC | Single Specialty | Current | Accepting new patients |
| Optimum Podiatry Services | Single Specialty | Current | 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
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Irvine, CA
- NPI 1467201756
Single Specialty
-
- Foot & Ankle Surgery Podiatrist
- Wooster, OH
- NPI 1396140414
Single Specialty
-
- Foot & Ankle Surgery Podiatrist
- Medina, OH
- NPI 1659160281
Single Specialty
-
- Foot & Ankle Surgery Podiatrist
- Irvine, CA
- NPI 1164902565
Single Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wooster Community Hospital
- General Acute Care Hospital
- Wooster, OH
- NPI 1437156247
-
dba University Hospitals Samaritan Medical Center
- General Acute Care Hospital
- Ashland, OH
- NPI 1902882939
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.