Individual provider Active NPI

Michael J Moskal, M.D.

  • Orthopaedic Surgery Physician
  • Sellersburg, IN
National Provider Identifier
1407995806
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
01049141 Issued in IN
Practice address
130 Hunters Station Way
Suite 201
Sellersburg, IN 47172
Phone
(812) 248-4789
Fax
(812) 248-4773
NPI assigned
Feb 5, 2007
Last updated
Aug 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 01049141 IN Primary

Addresses

Primary practice location

130 Hunters Station Way
Suite 201
Sellersburg, IN 47172

Mailing address

130 Hunters Station Way
Suite 201
Sellersburg, IN 47172
Phone (812) 248-4789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2025 through Oct 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01049141INMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kleinert Kutz and Associates Hand Care Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1407995806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HUNTERS STATION WAY",
            "address_2": "SUITE 201",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "47172",
            "telephone_number": "812-248-4789",
            "fax_number": "812-248-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HUNTERS STATION WAY",
            "address_2": "SUITE 201",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "47172",
            "telephone_number": "812-248-4789",
            "fax_number": "812-248-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKAL",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01049141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersburg, IN

Sources for this page

Verify at the official NPI Registry.