Active NPI
Henry Lee Moss III
- Diagnostic Radiology Physician
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD489417
- Practice address
- 3600 Minnesota Dr Ste 800
Edina, MN 55435-7915 - Phone
- (952) 595-1100
- NPI assigned
- Apr 10, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | MD489417 | PA | Primary |
Addresses
Primary practice location
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Mailing address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1100
Other practice location 1
177 Fort Washington Ave
New York, NY 10032-3733
Phone (212) 305-3038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1147 N 4TH St
Unit 2Ab
Philadelphia, PA 19123-1571
Phone (570) 271-6144
166 Gallagherville Rd
Downingtown, PA 19335-2248
Phone (952) 595-1100
901 N Penn St
P302 Warren Radiology Group Philadelph
Philadelphia, PA 19123-3132
Phone (814) 723-4973
Hospital & facility affiliations
- Wellspan Chambersburg Hospital
- Wellspan York Hospital
- Highland Hospital
- The University of Vermont Health Network - Champl
- Wellspan Good Samaritan Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ton San Xavier Health Center | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Kern County Hospital Authority | Current | Accepting new patients | |
| Claremont Imaging Associates, a Medical Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Ton San Simon Health Center | Current | Accepting new patients | |
| Virtual Radiologic Professionals, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Southern Monterey County Memorial Hospital | Current | Accepting new patients | |
| Warren General Hospital | Current | Accepting new patients | |
| Warren General Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Crouse Radiology Associates LLP | Diagnostic Radiology | Current | Accepting new patients |
| Englewood Radiologic Group P a | Diagnostic Radiology | Current | Accepting new patients |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Geisinger Clinic | Diagnostic Radiology | Current | Accepting new patients |
| Rochester General Hospital | Current | Accepting new patients | |
| United Memorial Medical Center | Current | Accepting new patients | |
| Southern Monterey County Memorial Hospital | Current | Accepting new patients | |
| Warren General Hospital | Current | Accepting new patients | |
| Ton Sells Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Virtual Radiologic Professionals of Texas I, P.a. | Diagnostic Radiology | Past | Accepting new patients |
| Ton Sells Hospital | Past | Accepting new patients | |
| Alameda Health System | Past | Accepting new patients | |
| Ton San Xavier Health Center | Past | Accepting new patients |
Locations
7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550
1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000
300 Canal St
King City, CA 93930
Phone (831) 385-6000
255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127
13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500
3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100
2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337
2 W Crescent Park
#P
Warren, PA 16365
Phone (814) 723-3300
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JDEGCD
Organizations & group practices 26
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.
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Diagnostic Radiology Physician
- Warren, PA
- NPI 1811600307
-
- Diagnostic Radiology Physician
- Pomona, CA
- NPI 1619068921
PA
-
- Critical Access Hospital
- King City, CA
- NPI 1114917564
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1083815872
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1396764353
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1700087590
-
- General Acute Care Hospital
- Plattsburgh, NY
- NPI 1033270699
-
- General Acute Care Hospital
- Chambersburg, PA
- NPI 1902804552
-
- Ambulatory Surgical Clinic/Center
- Lebanon, PA
- NPI 1205902343
Hospital
-
- General Acute Care Hospital
- Lebanon, PA
- NPI 1407928500
-
- Emergency Medicine Physician
- Lebanon, PA
- NPI 1730754284
Hospital
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1699238329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 MINNESOTA DR STE 800",
"city": "EDINA",
"state": "MN",
"postal_code": "554357915",
"telephone_number": "952-595-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 MINNESOTA DR STE 800",
"city": "EDINA",
"state": "MN",
"postal_code": "554357915",
"telephone_number": "952-595-1100"
}
],
"practiceLocations": [
{
"address_1": "177 Fort Washington Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100323733",
"country_code": "US",
"telephone_number": "212-305-3038",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSS",
"first_name": "HENRY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-10",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD489417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.