Individual provider Active NPI

Mark H Moss, D.P.M.

  • Foot Surgery Podiatrist
  • Pearland, TX
National Provider Identifier
1639128317
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
1645 Issued in TX
Practice address
8633 Broadway St
Suite 117
Pearland, TX 77584-8497
Phone
(281) 485-2988
Fax
(281) 485-2337
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 1645 TX Primary

Addresses

Primary practice location

8633 Broadway St
Suite 117
Pearland, TX 77584-8497

Mailing address

3692 E Sam Houston Pkwy S
Suite 100
Pasadena, TX 77505-3137
Phone (713) 946-1500

Other identifiers 1

IdentifierTypeStateIssuer
177268301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20051220000827 TX Practitioner - Podiatry 7416979364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McKinney Podiatric Associates PAGroup PAC ID 3072540731, 7 clinicians

Practice addresses (Care Compare)

3692 E Sam Houston Pkwy S
Suite 100
Pasadena, TX 77505-3137
Phone (713) 946-1500

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Houston Methodist Clear Lake Hospital Hospital, Nassau Bay, TX, CCN 450709

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue177
Removal of nail tissue211
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McKinney Podiatric Associates PA Foot Surgery CurrentSince Jul 7, 2003 Accepting new patients
McKinney Podiatric Associates PA Foot Surgery CurrentSince Jun 4, 2023 Accepting new patients
McKinney Podiatric Associates PA Foot Surgery Past Accepting new patients
McKinney Podiatric Associates PA Foot Surgery Past Accepting new patients

Locations

2707 W Baker Rd
#B
Baytown, TX 77521
Phone (281) 837-1500

11914 Astoria Blvd
Ste 250
Houston, TX 77089
Phone (281) 484-2400

3692 E Sam Houston Pkwy S
Ste 100
Pasadena, TX 77505
Phone (713) 946-1500

8633 Broadway St
Ste 117
Pearland, TX 77584
Phone (281) 485-2988

Interoperability endpoints

  • Direct secure messaging: mmoss468783@direct.stlukeshealth.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.

Hospital & facility affiliations 7

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1639128317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3692 E SAM HOUSTON PKWY S",
            "address_2": "SUITE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053137",
            "telephone_number": "713-946-1500",
            "fax_number": "713-946-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8633 BROADWAY ST",
            "address_2": "SUITE 117",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848497",
            "telephone_number": "281-485-2988",
            "fax_number": "281-485-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "MARK",
        "middle_name": "H",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177268301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.