Individual provider Active NPI

Bill Nikolaos Moskos, M.D.

  • Diagnostic Radiology Physician
  • Lubbock, TX
National Provider Identifier
1881699262
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
K5160 Issued in TX
Practice address
4005 24TH St
Lubbock, TX 79410-1835
Phone
(806) 792-2767
Fax
(806) 791-6709
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X K5160 TX Primary

Addresses

Primary practice location

4005 24TH St
Lubbock, TX 79410-1835

Mailing address

1538 Kanawha Blvd E Ste 100
Charleston, WV 25311-2435
Phone (304) 344-3457

Other identifiers 6

IdentifierTypeStateIssuer
119949100OtherTXFIRSTCARE
125623203MedicaidTX
S6675MedicaidNM
300109565OtherRAILROAD MEDICARE
87467YOtherTXBLUE CROSS
1070112OtherFIRST HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, IA, WV4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20050211000646 TX Practitioner - Diagnostic Radiology 8820040488 Reassigns benefits to 1 organization
I20190624003166 FL Practitioner - Diagnostic Radiology 8820040488 Reassigns benefits to 3 organizations
I20230803002214 IA Practitioner - Diagnostic Radiology 8820040488 Reassigns benefits to 1 organization
I20260501000062 WV Practitioner - Diagnostic Radiology 8820040488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Iowa, RJ & L Carver College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Radiology PCGroup PAC ID 2264491570, 65 clinicians
Rosebud Indian Health ServiceGroup PAC ID 6901704055, 76 clinicians

Practice addresses (Care Compare)

3350 NW 125TH Ave
Sunrise, FL 33323-6362
Phone (317) 805-4647

400 Soldier Creek Dr
Rosebud, SD 57570-8502
Phone (918) 457-8945

4545 Sergeant Rd
Family HC Siouxland Morningside
Sioux City, IA 51106-4706
Phone (402) 493-1212

PO Box
Suite 400
Rosebud, SD 57570

Hospital & facility affiliations

  • Northeast Regional Medical Center Hospital, Kirksville, MO, CCN 260022
  • Shenandoah Medical Center Hospital, Shenandoah, IA, CCN 161366
  • Community Hospital Association Hospital, Fairfax, MO, CCN 261303
  • Methodist Jennie Edmundson Hospital, Council Bluffs, IA, CCN 160047
  • Ogallala Community Hospital Hospital, Ogallala, NE, CCN 281355

Merit-based Incentive Payment System (MIPS)

Final score
97.03 of 100Reported as group
Quality
96.51
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.52 of 100Reported as group
Quality
68.64
Promoting interoperability
91
Improvement activities
40
Cost
86.31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Memorial Medical Center Inc CurrentSince Jun 3, 2019 Accepting new patients
Diagnostic Radiology PC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Rosebud Indian Health Service CurrentSince Mar 23, 2024 Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Jun 3, 2019 Accepting new patients
Rosebud Indian Health Service CurrentSince Mar 23, 2024 Accepting new patients

Locations

2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300

300 SE Hospital Ave
Stuart, FL 34994
Phone (772) 220-1391

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

3725 11th Cir
Vero Beach, FL 32960
Phone (772) 410-0155

933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000

1111 11th St
Hawarden, IA 51023
Phone (712) 551-3100

4545 Sergeant Rd
Sioux City, IA 51106
Phone (712) 274-2400

801 5th St
Sioux City, IA 51101
Phone (712) 279-2010

26136 US Highway 59
Fairfax, MO 64446
Phone (660) 686-2211

14301 Fnb Pkwy
Ste 100
Omaha, NE 68154
Phone (402) 706-6894

Organizations & group practices 7

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 5

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1881699262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 KANAWHA BLVD E STE 100",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253112435",
            "telephone_number": "304-344-3457",
            "fax_number": "304-344-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 24TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101835",
            "telephone_number": "806-792-2767",
            "fax_number": "806-791-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKOS",
        "first_name": "BILL",
        "middle_name": "NIKOLAOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "K5160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "119949100",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125623203",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S6675",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300109565",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "87467Y",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1070112",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.