Active NPI
Jill Sadoski Moschelli, M.D.
- Sports Medicine (Family Medicine) Physician
- East Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 4301099134
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 Association
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
| License | State | Type | Specialty |
|---|---|---|---|
| 286092 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W. Sparrow Hospital Association | Family Medicine | Current | Accepting new patients |
| Michigan State University | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Family Medicine | Current | Accepting new patients |
| University Physician Group | Family Medicine | Current | Accepting new patients |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Msu Health Care Inc. | Current | Accepting new patients | |
| Michigan State University | Sports Medicine | Current | Accepting new patients |
| Msu Health Care Inc | Current | 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
- 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.
-
- Allergy & Immunology Physician
- East Lansing, MI
- NPI 1700418670
-
dba University of Michigan Health-Sparrow
- Sports Medicine (Internal Medicine) Physician
- East Lansing, MI
- NPI 1598145997
-
dba Sparrow Regional Children's Center
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
-
- Diagnostic Radiology Physician
- East Lansing, MI
- NPI 1891747614
-
dba Wayne Health
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
Family Medicine
-
dba University of Michigan Health-Sparrow
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
Family Medicine
-
dba Sparrow Family Medicine Residency Central
- Family Medicine Physician
- Mason, MI
- NPI 1083668545
-
dba Michigan State University Extension
- Local Education Agency (LEA)
- East Lansing, MI
- NPI 1184182982
-
- Orthopaedic Surgery Physician
- East Lansing, MI
- NPI 1699858431
Sports Medicine
-
- Physical Therapist
- East Lansing, MI
- NPI 1689206419
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Michigan Health-Sparrow Lansing
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
dba Thoracic Cardiovascular Institute
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.