Individual provider Active NPI

Meaghan Moxley

  • Endocrinology, Diabetes & Metabolism Physician
  • Aberdeen, MD
National Provider Identifier
1669869632
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
D87761 Issued in MD
Practice address
650 McHenry Rd Ste 3300
Aberdeen, MD 21001-2682
Phone
(443) 843-6100
NPI assigned
Apr 17, 2015
Last updated
Dec 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D87761 MD
Pediatrics Physician 208000000X D87761 MD
Student in an Organized Health Care Education/Training Program 390200000X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X D87761 MD Primary

Addresses

Primary practice location

650 McHenry Rd Ste 3300
Aberdeen, MD 21001-2682

Mailing address

1250 E Marshall Street
Box 980163
Richmond, VA 23298
Phone (804) 828-9357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20210913000422 MD Practitioner - Endocrinology 0749594638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upper Chesapeake Endocrinology Associates, LLCGroup PAC ID 2466529011, 10 clinicians

Practice addresses (Care Compare)

2027 Pulaski Hwy
Suite 207
Havre de Grace, MD 21078-2147
Phone (443) 843-6130

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D87761MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Endocrinology Associates, LLC CurrentSince Aug 23, 2021 Accepting new patients

Locations

650 McHenry Rd
Ste 3300
Aberdeen, MD 21001
Phone (443) 843-6100

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

520 Upper Chesapeake Dr
Ste 405
Bel Air, MD 21014
Phone (443) 643-3347

2027 Pulaski Hwy
Ste 207
Hvre de Grace, MD 21078
Phone (443) 843-6100

Organizations & group practices 1

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 1

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": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1669869632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E MARSHALL STREET",
            "address_2": "BOX 980163",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23298",
            "telephone_number": "804-828-9357",
            "fax_number": "804-828-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 MCHENRY RD STE 3300",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012682",
            "telephone_number": "443-843-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOXLEY",
        "first_name": "MEAGHAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D87761",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D87761",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": "D87761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MD

Sources for this page

Verify at the official NPI Registry.