Active NPI
John R Moy, DPM
- Primary Podiatric Medicine Podiatrist
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- PO0002410
- 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, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 305 |
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO0002410 | FL | MD | Primary Podiatric Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merino Adult Family Care Home | Past | 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
- 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.
-
- Assisted Living Facility
- Kissimmee, FL
- NPI 1659826576
-
- Assisted Living Facility
- Clermont, FL
- NPI 1063752632
-
- Health Maintenance Organization
- Orlando, FL
- NPI 1528300860
-
- Assisted Living Facility
- Saint Cloud, FL
- NPI 1962995019
-
- Assisted Living Facility
- Clermont, FL
- NPI 1750784229
-
- Family Medicine Physician
- Orlando, FL
- NPI 1932186137
-
dba Merino Assisted Living Facility
- Assisted Living Facility
- Windermere, FL
- NPI 1770289100
-
- Family Medicine Physician
- Clermont, FL
- NPI 1770867269
-
- General Practice Physician
- Orlando, FL
- NPI 1730218165
-
dba Palamar House
- Assisted Living Facility
- Saint Cloud, FL
- NPI 1336586270
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.