Individual provider Active NPI

Jill Sadoski Moschelli, M.D.

  • Sports Medicine (Family Medicine) Physician
  • East Lansing, MI
National Provider Identifier
1427340256
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
4301099134 Issued in MI
Practice address
4660 S Hagadorn Rd Ste 420
East Lansing, MI 48823-5353
Phone
(517) 884-6100
Fax
(517) 884-6233
NPI assigned
May 12, 2011
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 4301099134 MI Primary

Addresses

Primary practice location

4660 S Hagadorn Rd Ste 420
East Lansing, MI 48823-5353

Mailing address

804 Service Rd Ste A202
East Lansing, MI 48824-7015
Phone (517) 884-6100

Other practice location 1

1200 E Michigan Ave Ste 245A
Lansing, MI 48912-1852
Phone (517) 364-5710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20150325001374 MI Practitioner - Sports MedicinePractitioner - Family Practice 3375860646 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward W Sparrow Hospital AssociationGroup PAC ID 6709799166, shared by 20 NPIs, 698 clinicians
Msu Health Care Inc.Group PAC ID 8628404936, 201 clinicians

Practice addresses (Care Compare)

1200 E Michigan Ave
Lansing, MI 48912-1897

4660 S Hagadorn Rd
Suite 420
East Lansing, MI 48823-5353
Phone (517) 884-6100

800 E Columbia St
Mason, MI 48854-1381

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
286092NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association Family Medicine CurrentSince Nov 1, 2020 Accepting new patients
Michigan State University CurrentSince Oct 1, 2019 Accepting new patients
Edward W Sparrow Hospital Association Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
University Physician Group Family Medicine CurrentSince Mar 16, 2015 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Oct 1, 2019 Accepting new patients
Msu Health Care Inc. CurrentSince Jul 1, 2020 Accepting new patients
Michigan State University Sports Medicine CurrentSince Oct 1, 2019 Accepting new patients
Msu Health Care Inc CurrentSince Jul 1, 2020 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Michigan State University Current Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

2900 Hannah Blvd
East Lansing, MI 48823
Phone (517) 336-4520

2900 Hannah Blvd
Ste 104
East Lansing, MI 48823
Phone (517) 364-8000

4660 S Hagadorn Rd
Ste 420
East Lansing, MI 48823
Phone (517) 884-6100

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976

804 Service Rd
Ste A202
East Lansing, MI 48824
Phone (517) 884-2976

5668 Okemos Rd
Haslett, MI 48840
Phone (517) 256-6870

1200 E Michigan Ave
Ste 245A
Lansing, MI 48912
Phone (517) 364-5710

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

Interoperability endpoints

  • Direct secure messaging: jill.moschelli.1@25394.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1427340256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD STE A202",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-884-6100",
            "fax_number": "517-884-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 S HAGADORN RD STE 420",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235353",
            "telephone_number": "517-884-6100",
            "fax_number": "517-884-6233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 E Michigan Ave Ste 245A",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489121852",
            "country_code": "US",
            "telephone_number": "517-364-5710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSCHELLI",
        "first_name": "JILL",
        "middle_name": "SADOSKI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-12",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MI",
            "license": "4301099134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.