Individual provider Active NPI

Margaret A. Moon, M.D.

  • Family Medicine Physician
  • Montgomery, OH
National Provider Identifier
1649622366
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.148523 Issued in OH
Practice address
11140 Montgomery Rd Ste 2500
Montgomery, OH 45249-2309
Phone
(513) 561-7809
Fax
(513) 272-4121
NPI assigned
Jul 6, 2016
Reactivated
Nov 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.148523 OH Primary

Addresses

Primary practice location

11140 Montgomery Rd Ste 2500
Montgomery, OH 45249-2309

Mailing address

11140 Montgomery Rd Ste 2500
Montgomery, OH 45249-2309
Phone (513) 561-7809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230815002425 OH Practitioner - Family Practice 4688967458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Christ Hospital Medical Associates, LLCGroup PAC ID 0244314102, 270 clinicians

Practice addresses (Care Compare)

11140 Montgomery Rd
Cincinnati, OH 45249-2309
Phone (513) 561-7809

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine, Inc Current Accepting new patients
The Christ Hospital Medical Associates, LLC Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
Christ Hospital Medical Specialists LLC PastSince Aug 6, 2023 Accepting new patients

Locations

2139 Auburn Ave
#47
Cincinnati, OH 45219

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

11140 Montgomery Rd
Montgomery, OH 45249
Phone (513) 564-8580

11140 Montgomery Rd
Ste 2500
Montgomery, OH 45249
Phone (513) 561-7809

2 Hot Metal St
#N359
Pittsburgh, PA 15203

Organizations & group practices 3

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 3

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": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1649622366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11140 MONTGOMERY RD STE 2500",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452492309",
            "telephone_number": "513-561-7809",
            "fax_number": "513-272-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11140 MONTGOMERY RD STE 2500",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452492309",
            "telephone_number": "513-561-7809",
            "fax_number": "513-272-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "MARGARET",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "deactivation_date": "2019-11-18",
        "reactivation_date": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.148523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, OH

Sources for this page

Verify at the official NPI Registry.