Individual provider Active NPI

John R Moy, DPM

  • Primary Podiatric Medicine Podiatrist
  • Orlando, FL
National Provider Identifier
1649251786
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
PO0002410 Issued in FL
Practice address
3936 S Semoran Blvd
Ste 323
Orlando, FL 32822-4015
Phone
(321) 663-6891
NPI assigned
Nov 7, 2005
Last updated
Sep 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X PO0002410 FL Primary

Addresses

Primary practice location

3936 S Semoran Blvd
Ste 323
Orlando, FL 32822-4015

Mailing address

PO Box 570111
Orlando, FL 32857-0111
Phone (321) 663-6891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040224001041 FL Practitioner - Podiatry 5799671012 Practice locations: Orlando, FL; Oviedo, FL; Saint Cloud, FL; Windermere, FL; Winter Springs, FL; Kissimmee, FL; Altamonte Springs, FL; Apopka, AL…
I20090508000415 NY Practitioner - Podiatry 5799671012 Practice locations: Syracuse, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1131 W Lake Brantley Rd
Altamonte Springs, FL 32714-2638
Phone (407) 277-2799

1510 Dingens Ave
Windermere, FL 34786-8000
Phone (407) 277-2799

1543 Aldersgate Dr
Kissimmee, FL 34746-6545
Phone (407) 498-0080

3936 S Semoran Blvd
Suite 323
Orlando, FL 32822-4015

960 W Lakeshore Manor
Clermont, FL 34711-2923
Phone (352) 989-5449

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PO0002410FLMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Merino Adult Family Care Home PastSince Feb 12, 2023 Accepting new patients
Senior Housing Solutions of Florida, LLC Past Accepting new patients
Simon Young DPM PC Primary Podiatric Medicine Past Accepting new patients
DJMP Management Florida LLC Past Accepting new patients
Eden Manor Past Accepting new patients
Elite Garden Past Accepting new patients
Mark a. Bobek M.D., PA Past Accepting new patients
Nordquist Family Medical Center MD PA Past Accepting new patients
Country Comfort Care, Inc. Past Accepting new patients
Aging Home Paradise LLC Past Accepting new patients
Lakeshore Manor, LLC Past Accepting new patients
Joyous Life Inc Past Accepting new patients
Rita Laracuente MD PA Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGHCCA

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1649251786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570111",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328570111",
            "telephone_number": "321-663-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3936 S SEMORAN BLVD",
            "address_2": "STE 323",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328224015",
            "telephone_number": "321-663-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOY",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO0002410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.