Individual provider Active NPI

Alan P Moelleken, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Santa Barbara, CA
National Provider Identifier
1649292673
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
G68712 Issued in CA
Practice address
401 East Carrillo Street
Santa Barbara, CA 93101-1460
Phone
(805) 563-3307
Fax
(805) 563-0998
NPI assigned
Jul 25, 2006
Last updated
Mar 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Orthopaedic Surgery of the Spine Physician 207XS0117X G68712 CA Primary

Addresses

Primary practice location

401 East Carrillo Street
Santa Barbara, CA 93101-1460

Mailing address

401 East Carrillo Street
Santa Barbara, CA 93101-1460
Phone (805) 563-3307

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040311001142 CA Practitioner - Orthopedic Surgery 1658269576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Perelman School of Med at the University of Pennsylvania, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osf Medical Group of California IncGroup PAC ID 7315835238, 6 clinicians

Practice addresses (Care Compare)

2725 16TH St
Bakersfield, CA 93301-3355
Phone (805) 563-3307

326 W Main St
Suite 120
Santa Maria, CA 93458-5070
Phone (805) 563-3307

401 E Carrillo St
Santa Barbara, CA 93101-1460
Phone (805) 563-3307

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.77 of 100Reported as group
Quality
44.82
Improvement activities
40
Cost
72.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G68712CAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Medical Group of California, Inc CurrentSince Jan 19, 2004 Accepting new patients
Carrillo Surgery Center Inc PastSince May 11, 2004 Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients
Central Valley Surgery Center Inc PastSince Aug 20, 2014 Accepting new patients
Osf Medical Group of California, Inc Past Accepting new patients
Osf Medical Group of California, Inc Past Accepting new patients
Goleta Valley Cottage Hospital Past Accepting new patients
Osf Medical Group of California, Inc. Past Accepting new patients
Keith Mark Gross MD Inc Past Accepting new patients

Locations

2725 16th St
Bakersfield, CA 93301
Phone (661) 401-2800

500 N Broadway
Ste 26
Blythe, CA 92225
Phone (760) 921-3376

640 S B St
Oxnard, CA 93030
Phone (805) 485-7042

401 E Carrillo St
Santa Barbara, CA 93101
Phone (805) 963-4785

401 E Carrillo St
Ste B
Santa Barbara, CA 93101
Phone 80556333071112

326 W Main St
Ste 120
Santa Maria, CA 93458
Phone (805) 925-9997

14649 Victory Blvd
Ste 24
Van Nuys, CA 91411
Phone (818) 779-1500

Interoperability endpoints

  • Direct secure messaging: alan.moelleken.1@31713.direct.athenahealth.com
  • Direct secure messaging: alanmoelleken_15100@tso.omnimddirect.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1649292673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 EAST CARRILLO STREET",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011460",
            "telephone_number": "805-563-3307",
            "fax_number": "805-563-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 EAST CARRILLO STREET",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011460",
            "telephone_number": "805-563-3307",
            "fax_number": "805-563-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLEKEN",
        "first_name": "ALAN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "G68712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.