Individual provider Active NPI

Sheila J Mosee, MD

  • Pediatrics Physician
  • Upper Marlboro, MD
National Provider Identifier
1447555669
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0044898 Issued in MD
Practice address
9440 Pennsylvania Ave
#160
Upper Marlboro, MD 20772-3659
Phone
(301) 599-0460
Fax
(301) 599-2174
NPI assigned
Jan 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0044898 MD Primary

Addresses

Primary practice location

9440 Pennsylvania Ave
#160
Upper Marlboro, MD 20772-3659

Mailing address

9440 Pennsylvania Ave
#160
Upper Marlboro, MD 20772-3659
Phone (301) 599-0460

Other identifiers 1

IdentifierTypeStateIssuer
911431900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150406001398 DC Practitioner - Pediatric Medicine 0749508695 Reassigns benefits to 1 organization
I20230915003542 MD Practitioner - Pediatric Medicine 0749508695 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0044898MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Baden Medical Service Incorporated CurrentSince Feb 13, 2015 Accepting new patients
Greater Baden Medical Service Incorporated Pediatrics CurrentSince Feb 13, 2015 Accepting new patients

Locations

7450 Albert Rd
Ste 3
Brandywine, MD 20613

7450 Albert Rd
Fl 3
Brandywine, MD 20613
Phone (301) 599-0460

8030 Matthews Rd
#105107
Bryans Road, MD 20616

8030 Matthews Rd
Ste 105107
Bryans Road, MD 20616

1442 Addison Rd S
Capitol Heights, MD 20743
Phone (301) 324-1500

1458 Addison Rd S
Capitol Heights, MD 20743
Phone (301) 324-1500

6 Garrett Ave
La Plata, MD 20646
Phone (301) 539-5100

23140 Moakley St
Ste 4
Leonardtown, MD 20650
Phone (301) 997-1029

21729 Great Mills Rd
Ste C
Lexington Park, MD 20653
Phone (240) 895-8396

6196 Oxon Hill Rd
Ste 540
Oxon Hill, MD 20745
Phone (301) 686-1665

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1447555669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9440 PENNSYLVANIA AVE",
            "address_2": "#160",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723659",
            "telephone_number": "301-599-0460",
            "fax_number": "301-599-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 PENNSYLVANIA AVE",
            "address_2": "#160",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723659",
            "telephone_number": "301-599-0460",
            "fax_number": "301-599-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSEE",
        "first_name": "SHEILA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0044898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "911431900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.