Individual provider Active NPI

Elizabeth Hart Moseley, MD

  • Diagnostic Radiology Physician
  • Norfolk, VA
National Provider Identifier
1578547618
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101052980 Issued in VA
Practice address
110 Kingsley LN
#305
Norfolk, VA 23505-4614
Phone
(757) 889-5422
Fax
(757) 889-5450
NPI assigned
Dec 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101052980 VA Primary

Addresses

Primary practice location

110 Kingsley LN
#305
Norfolk, VA 23505-4614

Mailing address

PO Box 844555
Boston, MA 02284-4555
Phone (540) 891-8730

Other identifiers 2

IdentifierTypeStateIssuer
7217404MedicaidVA
1578547618MedicaidVA

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
I20031201000721 VA Practitioner - Diagnostic Radiology 0244135432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.4 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.98

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton Roads Radiology Associates, PC Diagnostic Radiology CurrentSince May 1, 2015 Accepting new patients
Medical Center Radiologists Inc Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Kingsley Lane Anatomic Pathology Current Accepting new patients
Brooklyn Radiology Services PC Diagnostic Radiology PastSince Jun 1, 2011 Accepting new patients
Hillcrest Radiology Associates, Inc Diagnostic Radiology Past Accepting new patients
River Radiology PLLC Diagnostic Radiology Past Accepting new patients
Ulster Radiologic Associates, PC Past Accepting new patients
DRS Korsower & Pion Radiology PA Diagnostic Radiology Past Accepting new patients
Borg & Ide Imaging, PC Diagnostic Radiology PastSince Aug 6, 1997 Accepting new patients
Sound Shore Physician Services Past Accepting new patients

Locations

6275 E Virginia Beach Blvd
Ste 300
Norfolk, VA 23502
Phone (757) 461-1688

830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

582 Lynnhaven Pkwy
Ste 301
Virginia Beach, VA 23452
Phone (757) 916-9631

1060 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 395-2323

Organizations & group practices 10

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1578547618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844555",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022844555",
            "telephone_number": "540-891-8730",
            "fax_number": "540-891-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KINGSLEY LN",
            "address_2": "#305",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054614",
            "telephone_number": "757-889-5422",
            "fax_number": "757-889-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSELEY",
        "first_name": "ELIZABETH",
        "middle_name": "HART",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101052980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7217404",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578547618",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.