Individual provider Active NPI

David Michael Moinester, D.P.M.

  • Foot Surgery Podiatrist
  • Memphis, TN
National Provider Identifier
1386639789
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
DPM 194 Issued in TN
Practice address
1068 Cresthaven Rd Ste 110
Memphis, TN 38119-0845
Phone
(901) 767-5620
Fax
(901) 763-4326
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X DPM 194 TN Primary

Addresses

Primary practice location

1068 Cresthaven Rd Ste 110
Memphis, TN 38119-0845

Mailing address

1068 Cresthaven Rd Ste 300
Memphis, TN 38119-0809
Phone (901) 866-8864

Other identifiers 1

IdentifierTypeStateIssuer
3351646MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101129000382 TN Practitioner - Podiatry 9335262278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut Medical Group IncGroup PAC ID 3173435369, 98 clinicians

Practice addresses (Care Compare)

1301 Primacy Pkwy
Memphis, TN 38119-0213
Phone (901) 448-0275

Merit-based Incentive Payment System (MIPS)

Final score
88.15 of 100Reported as group
Quality
59.97
Promoting interoperability
100
Improvement activities
40
Cost
80.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue402
Removal of skin lesions57
Removal of nail tissue442
Removal or shaving of skin growth327
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM 194TNMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Medical Group, Inc. CurrentSince Jun 1, 2017 Accepting new patients
Ut Medical Group Inc CurrentSince Jun 1, 2017 Accepting new patients
Zenith Heart & Vascular Care PLLC Past Accepting new patients

Locations

6575 Stage Rd
Bartlett, TN 38134
Phone (901) 213-4609

1068 Cresthaven Rd
Ste 300
Memphis, TN 38119
Phone (901) 683-0024

995 S Yates Rd
Ste 2
Memphis, TN 38119
Phone (901) 402-8029

930 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-6650

1301 Primacy Pkwy
Memphis, TN 38119
Phone (901) 448-0230

1068 Cresthaven Rd
Ste 110
Memphis, TN 38119
Phone (901) 405-6454

Interoperability endpoints

  • Direct secure messaging: dmoinester13555@direct.bmhcc.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1386639789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 CRESTHAVEN RD STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190809",
            "telephone_number": "901-866-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 CRESTHAVEN RD STE 110",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190845",
            "telephone_number": "901-767-5620",
            "fax_number": "901-763-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOINESTER",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TN",
            "license": "DPM 194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3351646",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.