NPIMap

Individual provider Active NPI

Douglas Brian Moss, D.P.M.

  • Podiatrist
  • St Petersburg, FL
National Provider Identifier
1609801687
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3311 Issued in FL
Practice address
7855 38TH Ave N Ste 200
St Petersburg, FL 33710-1134
Phone
(727) 302-9500
Fax
(949) 404-8237
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X PO3311 FL
Foot & Ankle Surgery Podiatrist 213ES0103X PO3311 FL
Podiatrist 213E00000X PO3311 FL Primary

Addresses

Primary practice location

7855 38TH Ave N Ste 200
St Petersburg, FL 33710-1134

Mailing address

PO Box 40002
St Petersburg, FL 33743-0002
Phone (727) 302-9500

Other identifiers 1

IdentifierTypeStateIssuer
340659800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071003000665 FL Practitioner - Podiatry 5890759583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7855 38TH Ave N
Suite 200
Saint Petersburg, FL 33710-1134
Phone (727) 302-9500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3311FLMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Family Wellness LLC CurrentSince Mar 4, 2021 Accepting new patients
Moss Restorative Foot & Ankle Center, PLLC Podiatrist CurrentSince Jan 28, 2018 Accepting new patients
Bay Area Orthopaedic Specialists LLC Past Accepting new patients
Foot and Ankle Physicians P a Podiatrist PastSince Aug 14, 2001 Accepting new patients
Tampa Bay Orthopaedic Specialists Past Accepting new patients

Locations

455 Pinellas St
Ste 300
Clearwater, FL 33756
Phone (727) 295-6720

7855 38th Ave N
Ste 200
St Petersburg, FL 33710
Phone (727) 302-9500

500 Martin Luther King St N
Ste 100
St Petersburg, FL 33705
Phone (727) 825-1771

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJHCBD
  • Direct secure messaging: d.stroup@mosspodiatry.kareodirect.com
  • FHIR API: https://api.platform.athenahealth.com/5077/brand/3/csg/61/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1609801687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40002",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337430002",
            "telephone_number": "727-302-9500",
            "fax_number": "949-404-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 38TH AVE N STE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101134",
            "telephone_number": "727-302-9500",
            "fax_number": "949-404-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "DOUGLAS",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO3311",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3311",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340659800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.