NPIMap

Individual provider Active NPI

Amr N Moussa, MD

  • Nephrology Physician
  • Cincinnati, OH
National Provider Identifier
1407910771
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35088406 Issued in OH
Practice address
3219 Clifton Ave
Ste 325
Cincinnati, OH 45220-3027
Phone
(513) 861-0800
Fax
(513) 861-5111
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 35088406 OH Primary
Internal Medicine Physician 207R00000X 35088406 OH

Addresses

Primary practice location

3219 Clifton Ave
Ste 325
Cincinnati, OH 45220-3027

Mailing address

3219 Clifton Ave
Ste 325
Cincinnati, OH 45220-3027
Phone (513) 861-0800

Other identifiers 1

IdentifierTypeStateIssuer
2713308MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, IN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070206000356 OH Practitioner - NephrologyPractitioner - Hospitalist 3173525078 Reassigns benefits to 1 organization
I20091116000046 KY Practitioner - Nephrology 3173525078 Reassigns benefits to 1 organization
I20130906000708 IN Practitioner - Nephrology 3173525078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney and Hypertension Center IncGroup PAC ID 9830099985, 47 clinicians

Practice addresses (Care Compare)

1640 Flossie Dr
Greendale, IN 47025-8424
Phone (859) 341-6281

3219 Clifton Ave
Suite 325
Cincinnati, OH 45220-3046
Phone (513) 861-0800

830 Thomas More Pkwy
Suite 202
Edgewood, KY 41017-5103
Phone (859) 341-6281

Hospital & facility affiliations

  • DaVita Affinity Place Dialysis Dialysis facility, Cincinnati, OH, CCN 362834
  • DaVita Winton Road Dialysis Dialysis facility, Cincinnati, OH, CCN 362611
  • DaVita White Oak Home Training Dialysis Dialysis facility, Cincinnati, OH, CCN 362687
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • West Chester Hospital Hospital, West Chester, OH, CCN 360354
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35088406OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney and Hypertension Center Inc Nephrology CurrentSince Oct 1, 2009 Accepting new patients
Tristate Arthritis & Rheumatology PSC PastSince Oct 1, 2009 Accepting new patients
Trihealth Physician Institute Internal Medicine Past Accepting new patients

Locations

721 Rudolph Way
Greendale, IN 47025
Phone (812) 537-4240

1640 Flossie Dr
Lawrenceburg, IN 47025
Phone (812) 496-3285

830 Thomas More Pkwy
Ste 202
Ft Mitchell, KY 41017
Phone (606) 341-6281

3219 Clifton Ave
Ste 325
Cincinnati, OH 45220
Phone (513) 861-0800

2123 Auburn Ave
Ste 404
Cincinnati, OH 45219
Phone (513) 241-5630

4600 Montgomery Rd
Ste 105
Cincinnati, OH 45212
Phone (513) 487-5305

3301 Mercy Health Blvd
Ste 365
Cincinnati, OH 45211
Phone (513) 758-1170

Interoperability endpoints

  • Direct secure messaging: amoussa25176@direct-prd.stelizabeth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: amrmoussa@tkhc.allscriptsdirect.net

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.

Hospital & facility affiliations 11

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1407910771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 CLIFTON AVE",
            "address_2": "STE 325",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452203027",
            "telephone_number": "513-861-0800",
            "fax_number": "513-861-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 CLIFTON AVE",
            "address_2": "STE 325",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452203027",
            "telephone_number": "513-861-0800",
            "fax_number": "513-861-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSSA",
        "first_name": "AMR",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35088406",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35088406",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2713308",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.