Individual provider Active NPI

Virginia Ann Moye, MD, MPH

  • Dermatology Physician
  • Wellesley, MA
National Provider Identifier
1871908228
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
101975 Issued in MA
Practice address
372 Washington St Ste 2
Wellesley, MA 02481-6216
Phone
(781) 304-8680
Fax
(781) 304-8440
NPI assigned
Jun 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2018-00236 NC
Dermatology Physician 207N00000X 101975 MA Primary

Addresses

Primary practice location

372 Washington St Ste 2
Wellesley, MA 02481-6216

Mailing address

372 Washington St Ste 2
Wellesley, MA 02481-6216
Phone (781) 304-8680

Other practice location 1

1734 Westbrook Ave
Burlington, NC 27215-8775
Phone (336) 584-5801

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vmoye460758@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240828000648 MA Practitioner - Dermatology 8224257837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of North Carolina at Chapel Hill School of Medicine, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Premier Dermatology PLLCGroup PAC ID 8325470974, 6 clinicians

Practice addresses (Care Compare)

372 Washington St
Wellesley, MA 02481-6202
Phone (781) 205-0770

Hospital & facility affiliations

  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions198
Removal or shaving of skin growth23
Skin biopsy49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101975MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Dermatology, PLLC Dermatology CurrentSince Sep 1, 2024 Accepting new patients
Moses Cone Physician Services, Inc. Current Accepting new patients

Locations

372 Washington St
Ste 2
Wellesley, MA 02481
Phone (781) 205-0770

372 Washington St
Wellesley Hls, MA 02481
Phone (781) 235-5200

1734 Westbrook Ave
Burlington, NC 27215
Phone (336) 584-5801

300 E Wendover Ave
Fl 4
Greensboro, NC 27401
Phone (336) 663-5038

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

Organizations & group practices 2

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 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": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1871908228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 WASHINGTON ST STE 2",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024816216",
            "telephone_number": "781-304-8680",
            "fax_number": "781-304-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 WASHINGTON ST STE 2",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024816216",
            "telephone_number": "781-304-8680",
            "fax_number": "781-304-8440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1734 Westbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272158775",
            "country_code": "US",
            "telephone_number": "336-584-5801",
            "fax_number": "336-584-5860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOYE",
        "first_name": "VIRGINIA",
        "middle_name": "ANN",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2018-00236",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "101975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vmoye460758@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct  Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1734 Westbrook Ave",
            "city": "Burlington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272158775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.