Active NPI
John Moses, MD
- Cardiovascular Disease Physician
- Madison, WI
National Provider Identifier
1497729008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 33535020
- Practice address
- 2601 W. Beltline Hwy
Madison, WI 53713 - Phone
- (608) 417-2100
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 33535020 | WI | Primary |
Addresses
Primary practice location
2601 W. Beltline Hwy
Madison, WI 53713
Mailing address
202 S Park St
Madison, WI 53715-1507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040323000627 | WI | Practitioner - Cardiovascular Disease (Cardiology) | 3173414844 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33535020 | WI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mile Bluff Medical Center Inc | Current | Accepting new patients | |
| Mile Bluff Medical Center Inc | Current | Accepting new patients | |
| Mile Bluff Medical Center Inc | Current | Accepting new patients | |
| Wisconsin Heart, S.C. | Cardiovascular Disease | Past | Accepting new patients |
Locations
402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331
1040 Division St
Mauston, WI 53948
Phone (608) 847-5000
1050 Division St
Mauston, WI 53948
Phone (608) 847-6161
28 Commerce St
Wisconsin Dells, WI 53965
Phone (608) 254-5888
Interoperability endpoints
- jmoses58708@direct.emplifyhealth.org
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.
-
- Cardiovascular Disease Physician
- Madison, WI
- NPI 1720051857
Cardiovascular Disease
-
- Urgent Care Clinic/Center
- Mauston, WI
- NPI 1437958683
-
- Rural Health Clinic/Center
- Wisconsin Dells, WI
- NPI 1487734380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360281600000",
"number": "1497729008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 S PARK ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537151507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 W. BELTLINE HWY",
"city": "MADISON",
"state": "WI",
"postal_code": "53713",
"telephone_number": "608-417-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSES",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2013-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "33535020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.