Active NPI
David A Moss, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Johnston, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- MD09787
- Practice address
- 1524 Atwood Ave
Suite 140
Johnston, RI 02919-3228 - Phone
- (401) 351-6200
- Fax
- (401) 351-6201
- NPI assigned
- May 4, 2006
- Last updated
- Apr 8, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | MD09787 | RI | Primary |
Addresses
Primary practice location
1524 Atwood Ave
Suite 140
Johnston, RI 02919-3228
Mailing address
1524 Atwood Ave
Suite 140
Johnston, RI 02919-3228
Phone (401) 351-6200
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA48450 | Other | MA | HARVARD PILGRIM HEALTH |
| 050397249 | Other | UNITEDHEALTHCARE | |
| 050397249 | Other | WORKERS COMPENSTION | |
| 050397249 | Other | MULTIPLANS | |
| 050397249 | Other | PEQUOT PLUS HEALTH PLANS | |
| 103714900 | Other | U.S. DEPT. OF LABOR-WC | |
| 23922 | Other | RI | NEIGHBORHOOD HEALTH PLANS |
| 2723 | Other | RI | BC BS OF RI |
| CD1829 | Other | RAILROAD MEDICARE | |
| 402836 | Other | RI | BLUECHIP OF RI |
| R000315 | Other | TRICARE | |
| 0860497-002 | Other | CIGNA | |
| 7278316 | Other | AETNA | |
| 778764 | Other | MA | TUFTS HEALTH PLANS |
| 050397249 | Other | FIRST HLTH/COVENTRY/HCVM | |
| 9002723 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- 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
- Orthopedic Surgery
- Education
- Hahnemann University College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Dudley St
Suite 200
Providence, RI 02905-3248
Phone (401) 457-1500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.13 of 100
- Quality
- 66.76
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 77
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 26 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD09787 | RI | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Orthopedics, Inc. | Sports Medicine | Current | Accepting new patients |
| University Orthopedics, Inc. | Sports Medicine | Current | Accepting new patients |
Locations
1 Kettle Point Ave
East Providence, RI 02914
Phone (401) 330-1400
1524 Atwood Ave
Ste 140
Johnston, RI 02919
Phone (401) 351-6200
1524 Atwood Ave
Providence, RI 02919
Phone (401) 272-2110
2 Dudley St
Ste 200
Providence, RI 02905
Phone (401) 457-1504
Interoperability endpoints
- david.moss.1@13709.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Providence, RI
- NPI 1235181041
Sports Medicine
-
- Orthopaedic Surgery Physician
- Cranston, RI
- NPI 1285320093
Sports Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Landmark Medical Center
- General Acute Care Hospital
- Woonsocket, RI
- NPI 1699752923
-
dba Landmark Medical Center
- Psychiatric Hospital Unit
- Woonsocket, RI
- NPI 1396722666
-
dba Our Lady of Fatima Hospital
- General Acute Care Hospital
- North Providence, RI
- NPI 1871918870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239148800000",
"number": "1891743068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 ATWOOD AVE",
"address_2": "SUITE 140",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029193228",
"telephone_number": "401-351-6200",
"fax_number": "401-351-6201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 ATWOOD AVE",
"address_2": "SUITE 140",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029193228",
"telephone_number": "401-351-6200",
"fax_number": "401-351-6201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2009-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "RI",
"license": "MD09787",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH",
"identifier": "AA48450",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "050397249",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSTION",
"identifier": "050397249",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLANS",
"identifier": "050397249",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEQUOT PLUS HEALTH PLANS",
"identifier": "050397249",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U.S. DEPT. OF LABOR-WC",
"identifier": "103714900",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLANS",
"identifier": "23922",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF RI",
"identifier": "2723",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CD1829",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHIP OF RI",
"identifier": "402836",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "R000315",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0860497-002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7278316",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLANS",
"identifier": "778764",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HLTH/COVENTRY/HCVM",
"identifier": "050397249",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9002723",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.