NPIMap

Individual provider Active NPI

Michael John Moffett, M.D.

  • Hematology & Oncology Physician
  • Clovis, CA
National Provider Identifier
1407803083
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G80577 Issued in CA
Practice address
729 Medical Center Drive West
221
Clovis, CA 93611
Phone
(559) 299-6600
Fax
(559) 326-2530
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X G80577 CA Primary

Addresses

Primary practice location

729 Medical Center Drive West
221
Clovis, CA 93611

Mailing address

729 N Medical Center Dr W Ste 221
Clovis, CA 93611-6885
Phone (559) 299-6600

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ37565ZOtherCAMEDICARE ID

Other names 1

  • Dr. Michael John Moffett Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031211000818 CA Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 0648176727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine, Medical Oncology
Education
Albany Medical College of Union University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Health PartnersGroup PAC ID 6608280268, 497 clinicians

Practice addresses (Care Compare)

729 N Medical Ctr Dr W
Suite 221
Clovis, CA 93611-6885
Phone (559) 299-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
78.62
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G80577CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Partners CurrentSince Nov 1, 2020 Accepting new patients
California Cancer Associates for Research and Excellence Inc Hematology & Oncology PastSince Jul 16, 2001 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
California Oncology of the Central Valley Medical Group Inc Hematology & Oncology PastSince Feb 25, 1997 Accepting new patients
California Cancer Associates for Research and Excellence Inc Hematology & Oncology Past Accepting new patients
Saint Agnes Medical Center Past Accepting new patients

Locations

729 N Medical Center Dr W
Ste 221
Clovis, CA 93611
Phone (559) 299-6600

729 N Medical Center Dr W
Ste 111
Clovis, CA 93611
Phone (559) 320-0531

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

7130 N Millbrook Ave
Fresno, CA 93720
Phone (559) 326-1222

7257 N Fresno St
Fresno, CA 93720
Phone (559) 447-4050

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1407803083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 N MEDICAL CENTER DR W STE 221",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116885",
            "telephone_number": "559-299-6600",
            "fax_number": "559-326-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 MEDICAL CENTER DRIVE WEST",
            "address_2": "221",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "93611",
            "telephone_number": "559-299-6600",
            "fax_number": "559-326-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFETT",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G80577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "ZZZ37565Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "MOFFETT",
            "middle_name": "JOHN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.