Active NPI
Chad L Moes, M.D.
- Family Medicine Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 27090
- Practice address
- 110 N 175TH St #2000
Omaha, NE 68118-3515 - Phone
- (402) 596-4411
- Fax
- (402) 596-4410
- NPI assigned
- Jun 10, 2010
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27090 | NE | Primary |
| Internal Medicine Physician | 207R00000X | 6420 | NE |
Addresses
Primary practice location
110 N 175TH St #2000
Omaha, NE 68118-3515
Mailing address
988102 Nebraska Medical Center
Omaha, NE 68198-8102
Phone (402) 559-6195
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47068731734 | Medicaid | NE | |
| 1881914083 | Medicaid | IA | |
| 47068731731734 | Medicaid | NE | |
| 47068731741 | Medicaid | NE | |
| 10025464000 | Medicaid | NE | |
| 47068731749 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- 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 Compare- Specialty
- Family Practice
- Education
- University of Nebraska College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
20310 Blue Sage Pkwy
Omaha, NE 68130-3746
Phone (402) 559-0111
Emile 42ND St
Omaha, NE 68198-0001
Phone (402) 559-4015
Hospital & facility affiliations
- Brookestone Home Health Care
- The Nebraska Medical Center
- Bellevue Medical Center
- Nebraska Orthopaedic Hospital
- The Nebraska Methodist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27090 | NE | MD | Family Medicine Physician |
| 6420 | NE | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unmc Physicians | Current | Accepting new patients | |
| Ainsworth Family Clinic, P.C. | Family Medicine | Past | Accepting new patients |
Locations
15675 Hanover Falls Dr
Bennington, NE 68007
Phone (531) 559-6000
988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
20310 Blue Sage Pkwy
Omaha, NE 68130
Phone (402) 559-0111
987400 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-3405
110 N 175th St
Ste 2000
Omaha, NE 68118
Phone (402) 596-4411
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.
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
- Internal Medicine Physician
- Ainsworth, NE
- NPI 1083632533
Family Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bellevue, NE
- NPI 1609007525
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1356345318
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
-
- Home Health Agency
- Omaha, NE
- NPI 1598288789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464220800000",
"number": "1881914083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988102 NEBRASKA MEDICAL CENTER",
"city": "OMAHA",
"state": "NE",
"postal_code": "681988102",
"telephone_number": "402-559-6195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N 175TH ST #2000",
"city": "OMAHA",
"state": "NE",
"postal_code": "681183515",
"telephone_number": "402-596-4411",
"fax_number": "402-596-4410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOES",
"first_name": "CHAD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-10",
"last_updated": "2016-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "27090",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "6420",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47068731734",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881914083",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47068731731734",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47068731741",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025464000",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47068731749",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.