Casey John Moothart, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35-093143 Issued in OH

Practice address

924 Waycross Rd
Cincinnati, OH 45240-3022

Phone

(513) 588-3623

Fax

(513) 851-4800

NPI assigned

Oct 18, 2007

Last updated

Jul 6, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Pediatric MedicineAlso: Internal Medicine

Education

Wayne State University School of Medicine, 2003

Medicare assignment

May accept Medicare assignment

Group practices

The Healthcare Connection, Inc.Group PAC ID 8628988318, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: casey.moothart.p7@direct.healthcareconnection.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Healthcare Connection, Inc

  dba Lincoln Heights Health Center

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
  • NPI 1053337675
  Medicare reassignment Care Compare group NPD
• The Healthcare Connection, Inc

  dba Mt. Healthy Family Practice Center

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
  • NPI 1154347789
  NPD
• The Healthcare Connection, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
  • NPI 1578244687
  NPD

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1407045164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 WAYCROSS RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452403022",
            "telephone_number": "513-588-3623",
            "fax_number": "513-851-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 WAYCROSS RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452403022",
            "telephone_number": "513-588-3623",
            "fax_number": "513-851-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOTHART",
        "first_name": "CASEY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-18",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-093143",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-093143",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2937479",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Moorman, RPH
• Cynthia Lynne Moorman
• Erin Leigh Moorman, PHD
• Layne Moorman
• Emily A Moosbrugger, MD
• Syed A Moqeeth, MD
• David Morad, MD
• Angela Carmen Moraga, LPN
• Richard S Moraites, MD
• Oluwasola Morakinyo, MD

• Pediatrics Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.

Verify at the official NPI Registry.