Individual provider Active NPI

Mitchell Owen Moskowitz, M.D.

  • Urology Physician
  • Dallas, TX
National Provider Identifier
1700849189
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
J3558 Issued in TX
Practice address
7777 Forest LN
A230
Dallas, TX 75230-2505
Phone
(972) 566-7765
Fax
(972) 566-4656
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X J3558 TX Primary

Addresses

Primary practice location

7777 Forest LN
A230
Dallas, TX 75230-2505

Mailing address

3600 Gaston Ave
Suite 1205
Dallas, TX 75246-1800
Phone (214) 692-8262

Other identifiers 6

IdentifierTypeStateIssuer
P00275100OtherTXRR MEDICARE
8M6739OtherTXBCBS
110456405MedicaidTX
110456404MedicaidTX
110456406MedicaidTX
110456407MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20060118000625 TX Practitioner - Urology 5496779373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
State University of New York at Stony Brook, School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

10425 N Central Expy
Dallas, TX 75231-2208
Phone (214) 361-2025

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 586-2456

2600 Scripture St
Denton, TX 76201-4315
Phone (940) 382-1022

4370 Medical Arts Dr
Suite 100
Flower Mound, TX 75028-1713
Phone (972) 537-4100

4708 Alliance Blvd
Suite 650
Plano, TX 75093-5319
Phone (972) 403-5425

7777 Forest LN
Suite C618
Dallas, TX 75230-6855
Phone (972) 566-5400

7777 Forest LN
Suite C707
Dallas, TX 75230-6861
Phone (972) 566-3000

PO Box
Suite 911242
Dallas, TX 75391-1242

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J3558TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA CurrentSince Dec 1, 2017 Accepting new patients
Texas Oncology PA CurrentSince Dec 1, 2017 Accepting new patients
Texas Oncology PA Current Accepting new patients
Texas Oncology PA Urology Current Accepting new patients

Locations

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

7777 Forest Ln
Ste A230
Dallas, TX 75230
Phone (972) 566-7765

7777 Forest Ln
Ste 618
Dallas, TX 75230

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

4708 Alliance Blvd
Ste 650
Plano, TX 75093
Phone (469) 326-2636

Interoperability endpoints

  • Direct secure messaging: mitchellmoskowitz@tusdfw.medalliesdirect.net
  • Direct secure messaging: mitchell.moskowitz.p1@direct.ppgt.nextgenshare.com

Organizations & group practices 4

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 4

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1700849189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "SUITE 1205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461800",
            "telephone_number": "214-692-8262",
            "fax_number": "214-696-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "A230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-7765",
            "fax_number": "972-566-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKOWITZ",
        "first_name": "MITCHELL",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "J3558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00275100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8M6739",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110456405",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110456404",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110456406",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110456407",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.