Moon Medical Transport

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

MOON MEDICAL TRANSPORT

Practice address

2720 McDivitt Road Apt 208
Madison, WI 53713

Phone

(612) 466-1024

NPI assigned

Sep 15, 2026

Organization subpart

No

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

Authorized official

Name

Abdirahman Abdi Ali

Title

Owner

Phone

(612) 466-1024

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1598676850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 E HAMILTON AVE # 143",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016863",
            "telephone_number": "612-466-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 MCDIVITT ROAD APT 208",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53713",
            "telephone_number": "612-466-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ABDIRAHMAN",
        "authorized_official_middle_name": "ABDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-466-1024"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan E Montgomery, MD
• Susan L Montgomery, LPN
• Jesse Montoure, MD
• Sarah E Montoure, CRNA
• Michael Dwight Moody, APSW
• Lisa Moon, PHARMD
• Lisa Marie Moon
• Richard L. Moon, MD
• Timothy D Moon, MD
• Tricia Mooney-Fogarty

• Non-emergency Medical Transport (VAN) in Madison, WI
• Providers in Madison, WI by specialty
• Non-emergency Medical Transport (VAN) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.