Individual provider Active NPI

Alexander Moya, DPM

  • Foot & Ankle Surgery Podiatrist
  • Edgewater, FL
National Provider Identifier
1457616922
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3535 Issued in FL
Practice address
201 S Ridgewood Ave
Suite #2
Edgewater, FL 32132-1946
Phone
(386) 423-9573
Fax
(386) 423-6823
NPI assigned
Jul 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3535 FL Primary

Addresses

Primary practice location

201 S Ridgewood Ave
Suite #2
Edgewater, FL 32132-1946

Mailing address

201 S Ridgewood Ave
Suite #2
Edgewater, FL 32132-1946
Phone (386) 423-9573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130604000692 FL Practitioner - Podiatry 2668610502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Project Health IncGroup PAC ID 0446153399, 34 clinicians

Practice addresses (Care Compare)

1389 S US Hwy 301
Sumterville, FL 33585-5140
Phone (352) 793-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Project Health Inc Past Accepting new patients

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1457616922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S RIDGEWOOD AVE",
            "address_2": "SUITE #2",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321321946",
            "telephone_number": "386-423-9573",
            "fax_number": "386-423-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S RIDGEWOOD AVE",
            "address_2": "SUITE #2",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321321946",
            "telephone_number": "386-423-9573",
            "fax_number": "386-423-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYA",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-10",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, FL

Sources for this page

Verify at the official NPI Registry.