Individual provider Active NPI

Michael Solomon Moses, M.D.

  • Internal Medicine Physician
  • Parkersburg, WV
National Provider Identifier
1346226396
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13994 Issued in WV
Practice address
100 Crestwood Dr
Parkersburg, WV 26104-9234
Phone
(304) 482-0102
Fax
(304) 428-9565
NPI assigned
Dec 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13994 WV Primary

Addresses

Primary practice location

100 Crestwood Dr
Parkersburg, WV 26104-9234

Mailing address

100 Crestwood Dr
Parkersburg, WV 26104-9234
Phone (304) 482-0102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20110510000459 WV Practitioner - Internal Medicine 9537345426 Practice locations: Parkersburg, WV

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13994WVMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: michael.moses@mmhs.medicity.net

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1346226396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CRESTWOOD DR",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261049234",
            "telephone_number": "304-482-0102",
            "fax_number": "304-428-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CRESTWOOD DR",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261049234",
            "telephone_number": "304-482-0102",
            "fax_number": "304-428-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "MICHAEL",
        "middle_name": "SOLOMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2023-06-07",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "13994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.