Individual provider Active NPI

David J Moylan III, MD

  • Radiation Oncology Physician
  • New Philadelphia, PA
National Provider Identifier
1447245899
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD020915E Issued in PA
Practice address
15 Alliance St
New Philadelphia, PA 17959-1101
Phone
(570) 277-6218
Fax
(570) 277-6398
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD020915E PA Primary
Therapeutic Radiology Physician 2085R0203X MD 020915 E PA

Addresses

Primary practice location

15 Alliance St
New Philadelphia, PA 17959-1101

Mailing address

PO Box 441
New Philadelphia, PA 17959-0441
Phone (570) 277-6218

Other identifiers 1

IdentifierTypeStateIssuer
000863185MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040706000929 PA Practitioner - Radiation Oncology 3577540764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Georgetown University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 Alliance St
New Philadelphia, PA 17959-1101
Phone (570) 277-6218

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.52 of 100Reported as group
Quality
91.15
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.31 of 100Reported as group
Quality
55.01
Promoting interoperability
99
Improvement activities
40
Cost
76.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 020915 EPAMDTherapeutic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Satish a Shah MD PC CurrentSince Aug 1, 2019 Accepting new patients
Thinking It Through PC PastSince Jan 25, 2012 Accepting new patients
Hudson Valley Oncology Associates PLLC Radiation Oncology PastSince Dec 1, 2004 Accepting new patients

Locations

20 Expedition Trl
Ste 101
Gettysburg, PA 17325
Phone (717) 334-4033

20 Expedition Trl
Ste 103
Gettysburg, PA 17325
Phone (717) 337-5991

20 Expedition Trl
Ste 100
Gettysburg, PA 17325
Phone (717) 334-8333

6475 Carlisle Pike
Mechanicsburg, PA 17050
Phone (717) 766-0872

Organizations & group practices 4

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 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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1447245899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441",
            "city": "NEW PHILADELPHIA",
            "state": "PA",
            "postal_code": "179590441",
            "telephone_number": "570-277-6218",
            "fax_number": "570-277-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ALLIANCE ST",
            "city": "NEW PHILADELPHIA",
            "state": "PA",
            "postal_code": "179591101",
            "telephone_number": "570-277-6218",
            "fax_number": "570-277-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYLAN",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD020915E",
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "PA",
            "license": "MD 020915 E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000863185",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.