Carlos Moe, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3642 Issued in AZ

Practice address

8260 W Indian School Rd
Ste 1 and 2
Phoenix, AZ 85033

Phone

(623) 846-7122

Fax

(623) 846-7027

NPI assigned

Mar 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• American Current Care PA

  • Health Service Clinic/Center
  • Addison, TX
  • NPI 1326222191

  IA

  Medicare reassignment
• Center for Physical Medicine & Rehabilitation P C

  • Physical Medicine & Rehabilitation Physician
  • Phoenix, AZ
  • NPI 1306959218
  NPD (past)
• Gold Star Medical LLC

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1164727665
  NPD (past)
• Med 97 LLC

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1487631883
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1881661940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32950",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85064",
            "telephone_number": "602-433-1822",
            "fax_number": "602-246-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 W INDIAN SCHOOL RD",
            "address_2": "STE 1 AND 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85033",
            "telephone_number": "623-846-7122",
            "fax_number": "623-846-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOE",
        "first_name": "CARLOS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN #",
            "identifier": "84270",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "705329",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bhavan Modi, MD
• Sagar Modi, MD
• Cynthia Jean Modny, M.D.
• Kartik Mody
• Mital Abhijeet Mody
• Danette Moe, DPT
• Elizabeth Moe
• Tabitha Grace Moe, M.D.
• Terryl Faye Moe, MSW
• Vanessa Lynn Moe, NP

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.

Verify at the official NPI Registry.