Individual provider Active NPI

Tracy J Moll, DO

  • Neurology Physician
  • Rockingham, VA
National Provider Identifier
1427430396
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0102205567 Issued in VA
Practice address
2006 Health Campus Dr
Rockingham, VA 22801-8679
Phone
(540) 689-5400
Fax
(757) 579-8568
NPI assigned
Jun 26, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2015020142 MO
Neurology Physician 2084N0400X 0102205567 VA Primary

Addresses

Primary practice location

2006 Health Campus Dr
Rockingham, VA 22801-8679

Mailing address

2006 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 689-5400

Other practice location 1

2006 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 689-5400

Other practice location 2

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

Other practice location 3

500 Martha Jefferson Dr Fl 4
Charlottesville, VA 22911-4668
Phone (434) 654-8960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20190925000212 VA Practitioner - Neurology 0446524276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RMH Medical Group LLCGroup PAC ID 7618270729, 254 clinicians

Practice addresses (Care Compare)

2010 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 689-1110

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Martha Jefferson Medical Group LLC CurrentSince May 1, 2021 Accepting new patients
RMH Medical Group LLC CurrentSince Aug 19, 2019 Accepting new patients
RMH Medical Group LLC CurrentSince Aug 19, 2019 Accepting new patients
Rockingham Memorial Hospital Past Accepting new patients
Martha Jefferson Hospital PastSince May 1, 2021 Accepting new patients

Locations

500 Martha Jefferson Dr
#415A
Charlottesville, VA 22911
Phone (434) 654-8960

1646 Park Ridge Dr
Crozet, VA 22932
Phone (434) 654-2760

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

2006 Health Campus Dr
Ste 300
Rockingham, VA 22801
Phone (540) 689-5400

2006 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-5800

2006 Health Campus Dr
Ste 200
Rockingham, VA 22801
Phone (540) 689-5555

2010 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-1000

Interoperability endpoints

  • Direct secure messaging: tmoll496899@direct.sentara.net

Organizations & group practices 5

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 5

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": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1427430396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 HEALTH CAMPUS DR",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228018679",
            "telephone_number": "540-689-5400",
            "fax_number": "757-579-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 HEALTH CAMPUS DR",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228018679",
            "telephone_number": "540-689-5400",
            "fax_number": "757-579-8568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2006 Health Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Rockingham",
            "state": "VA",
            "postal_code": "228018679",
            "country_code": "US",
            "telephone_number": "540-689-5400",
            "fax_number": "757-579-8568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012808",
            "country_code": "US",
            "telephone_number": "540-536-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Martha Jefferson Dr Fl 4",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229114668",
            "country_code": "US",
            "telephone_number": "434-654-8960",
            "fax_number": "434-654-8961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLL",
        "first_name": "TRACY",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-26",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2015020142",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0102205567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, VA

Sources for this page

Verify at the official NPI Registry.