Active NPI
Raymond Wui Moy, MD
- Family Medicine Physician
- Milwaukee, WI
National Provider Identifier
1760428825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21142
- Practice address
- 6917 W Oklahoma Ave
Milwaukee, WI 53219-2973 - Phone
- (414) 545-7245
- Fax
- (414) 545-3373
- NPI assigned
- Jun 20, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 21142 | WI | Primary |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 21142 | WI | |
| Psychiatry Physician | 2084P0800X | 21142 | WI |
Addresses
Primary practice location
6917 W Oklahoma Ave
Milwaukee, WI 53219-2973
Mailing address
6917 W Oklahoma Ave
Milwaukee, WI 53219-2973
Phone (414) 545-7245
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30254700 | Medicaid | WI | |
| 21335000 | Medicaid | WI | |
| 1760428825 | Other | WI | MEDICARE NPI INDUVIDUAL |
| 1740469873 | Other | WI | MEDICARE NPI GROUP |
Other names 1
- Raymond Wui Moy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060405000079 | WI | Practitioner - Family Practice | 2062420862 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21142 | WI | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300924800000",
"number": "1760428825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6917 W OKLAHOMA AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532192973",
"telephone_number": "414-545-7245",
"fax_number": "414-545-3373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6917 W OKLAHOMA AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532192973",
"telephone_number": "414-545-7245",
"fax_number": "414-545-3373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOY",
"first_name": "RAYMOND",
"middle_name": "WUI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2011-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "21142",
"primary": true
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "WI",
"license": "21142",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "21142",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30254700",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "21335000",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NPI INDUVIDUAL",
"identifier": "1760428825",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NPI GROUP",
"identifier": "1740469873",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RAYMOND",
"last_name": "MOY",
"middle_name": "WUI",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.