Active NPI
Joseph Walter Moleski Jr., D.O.
- Adult Medicine Physician
- Fenton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 2017023056
- Practice address
- 1015 Bowles Ave
Fenton, MO 63026 - Phone
- (636) 496-2000
- NPI assigned
- Jun 3, 2015
- Last updated
- Nov 15, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 2017023056 | MO | |
| Adult Medicine Physician | 207QA0505X | 2017023056 | MO | Primary |
Addresses
Primary practice location
1015 Bowles Ave
Fenton, MO 63026
Mailing address
453 Amber Lake CT
Imperial, MO 63052-3114
Phone (314) 258-4812
Other practice location 1
6420 Clayton Rd Rm 2243
Saint Louis, MO 63117-1811
Phone (314) 951-7230
Other practice location 2
453 Amber Lake Ct
Imperial, MO 63052-3114
Phone (314) 258-4812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1585 Woodlake Dr
Chesterfield, MO 63017-5740
Phone (833) 696-3349
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care St Louis | Current | Accepting new patients | |
| Galen Inpatient Physicians PC. | Hospitalist | Current | Accepting new patients |
| Yam Medical Center LLC | Current | Accepting new patients | |
| Attigo Infusion Missouri LLC | Current | Accepting new patients | |
| Dr. Petre I Anguelinin, LLC | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
12800 Boenker Ln
Bridgeton, MO 63044
Phone (314) 499-6060
1585 Woodlake Dr
Ste 200
Chesterfield, MO 63017
Phone (314) 434-7430
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
1980 SE Blue Pkwy
Ste 302
Lees Summit, MO 64063
1520 N Church Rd
Ste D
Liberty, MO 64068
6420 Clayton Rd
Rm 2243
Saint Louis, MO 63117
Phone (314) 951-7230
2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850
1000 Des Peres Rd
Ste 220
Saint Louis, MO 63131
300 Saint Peters Centre Blvd
Ste 220
Saint Peters, MO 63376
15301 Spectrum Dr
Ste 330
Addison, TX 75001
Phone (806) 239-5716
Organizations & group practices 7
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.
-
dba Medix Infusion
- Infectious Disease Physician
- Liberty, MO
- NPI 1629651476
-
- Internal Medicine Physician
- Fenton, MO
- NPI 1265538177
-
- Hospitalist Physician
- Fenton, MO
- NPI 1538714688
-
dba SSM Health St Clare Fenton
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
-
- General Practice Physician
- Bridgeton, MO
- NPI 1568072650
-
- Adult Medicine Physician
- Fenton, MO
- NPI 1952229411
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573776000000",
"number": "1417337676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "453 AMBER LAKE CT",
"city": "IMPERIAL",
"state": "MO",
"postal_code": "630523114",
"telephone_number": "314-258-4812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 BOWLES AVE",
"city": "FENTON",
"state": "MO",
"postal_code": "63026",
"telephone_number": "636-496-2000"
}
],
"practiceLocations": [
{
"address_1": "6420 Clayton Rd Rm 2243",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631171811",
"country_code": "US",
"telephone_number": "314-951-7230",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "453 Amber Lake Ct",
"address_purpose": "LOCATION",
"city": "Imperial",
"state": "MO",
"postal_code": "630523114",
"country_code": "US",
"telephone_number": "314-258-4812",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOLESKI",
"first_name": "JOSEPH",
"middle_name": "WALTER",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-03",
"last_updated": "2019-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MO",
"license": "2017023056",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "MO",
"license": "2017023056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fenton, MO
- John Mischel, D.C.
- Missouri CVS Pharmacy LLC (CVS Pharmacy #16657)
- Missouri CVS Pharmacy, L.L.C. (CVS Pharmacy #18052)
- Missouri LTC Pharmacy LLC (Infinium Pharmacy)
- Missouri Medical Partners LLC
- Thomas L Monje, OD
- Marco Moreno, R.EEG T.
- Kurt Richard Morgester, D.M.D.
- Stacey A Mormol, CRNA
- Rebecca Morris, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.