Active NPI
Donald G Moses, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Vicksburg, MS
National Provider Identifier
1740360221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 16668
- Practice address
- 2100 Highway 61 N
Vicksburg, MS 39183-8211 - Phone
- (601) 883-5000
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 16668 | MS | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 16668 | MS | Primary |
Addresses
Primary practice location
2100 Highway 61 N
Vicksburg, MS 39183-8211
Mailing address
2100 Highway 61 N
Vicksburg, MS 39183-8211
Phone (601) 883-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00122052 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90 of 100
- Quality
- 80
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16668 | MS | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Anatomic Pathology Services, Inc. | Clinical Pathology | Current | Accepting new patients |
| Preferred Anatomic Pathology Services, Inc. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Vicksburg Clinic LLC | Past | Accepting new patients | |
| Vicksburg Clinic LLC | Past | Accepting new patients |
Locations
1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191
Interoperability endpoints
- dmoses1455066@direct.ochsner.org
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Lafayette, LA
- NPI 1700873833
-
- Anatomic Pathology & Clinical Pathology Physician
- Lafayette, LA
- NPI 1568596484
-
- Infectious Disease Physician
- Vicksburg, MS
- NPI 1659307791
-
- Family Medicine Physician
- Vicksburg, MS
- NPI 1790711158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486598400000",
"number": "1740360221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 HIGHWAY 61 N",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391838211",
"telephone_number": "601-883-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 HIGHWAY 61 N",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391838211",
"telephone_number": "601-883-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSES",
"first_name": "DONALD",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2017-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "MS",
"license": "16668",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MS",
"license": "16668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00122052",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vicksburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.