Individual provider Active NPI

Michael Moussa, MD

  • Ophthalmology Physician
  • Cleveland, OH
National Provider Identifier
1386393098
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35.156770 Issued in OH
Practice address
7003 Pearl Rd Ste 200
Cleveland, OH 44130-4941
Phone
(440) 333-3097
Fax
(440) 333-0273
NPI assigned
Mar 21, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35.156770 OH Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

7003 Pearl Rd Ste 200
Cleveland, OH 44130-4941

Mailing address

7003 Pearl Rd Ste 200
Cleveland, OH 44130-4941
Phone (440) 333-3097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20220728000178 MO Order and Referring Only - OphthalmologyPractitioner - Ophthalmology 2466834106

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Oakland Univ, William Beaumont School of Medicine, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7003 Pearl Rd
Suite 200
Cleveland, OH 44130-4996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1386393098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 PEARL RD STE 200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441304941",
            "telephone_number": "440-333-3097",
            "fax_number": "440-333-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 PEARL RD STE 200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441304941",
            "telephone_number": "440-333-3097",
            "fax_number": "440-333-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSSA",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-21",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.156770",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.