Active NPI
Jay J Moradia, DPM
- Podiatrist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2020016572
- Practice address
- 621 S New Ballas Rd Ste 7005B
Saint Louis, MO 63141-8275 - Phone
- (314) 991-3668
- NPI assigned
- Apr 5, 2017
- Last updated
- Jun 18, 2020
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 2020016572 | MO | Primary |
Addresses
Primary practice location
621 S New Ballas Rd Ste 7005B
Saint Louis, MO 63141-8275
Mailing address
12303 De Paul Dr
Bridgeton, MO 63044-2512
Other practice location 1
12303 De Paul Dr
Bridgeton, MO 63044-2512
Phone (314) 344-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 Pkwy Office CT
Suite 100
Cary, NC 27518-7429
Phone (919) 481-3338
Hospital & facility affiliations
- Wakemed Home Health
- 3HC
- Medi Home Health Agency
- Rex Hospital
- Wakemed, Cary Hospital
- Wakemed, Raleigh Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.29 of 100
- Promoting interoperability
- 79
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.95 of 100
- Promoting interoperability
- 87
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 525 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 68 |
| Removal or shaving of skin growth | 30 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 835 | NC | MD | Acupuncturist |
| 2020016572 | MO | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot and Ankle Specialists of the Mid-Atlantic, LLC | Podiatrist | Current | Accepting new patients |
| Foot and Ankle Specialists of the Mid-Atlantic, LLC | Podiatrist | Current | Accepting new patients |
Locations
1001 Pemberton Hill Rd
Ste 102
Apex, NC 27502
Phone (919) 362-1836
103 Parkway Office Ct
Ste 100
Cary, NC 27518
Phone (919) 481-3338
721 Tilghman Dr
Ste 300
Dunn, NC 28334
Phone (910) 282-4370
1418 E Millbrook Rd
Raleigh, NC 27609
Phone (919) 850-9111
3801 Wake Forest Rd
Ste 100
Raleigh, NC 27609
Phone (919) 850-9111
Interoperability endpoints
- jmoradia@usfas.emadirect.md
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.
-
- Podiatrist
- Raleigh, NC
- NPI 1073804712
-
- Podiatrist
- Concord, NC
- NPI 1255213997
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Goldsboro, NC
- NPI 1558396622
Home health agency
-
- Home Health Agency
- Goldsboro, NC
- NPI 1750337366
-
dba Medi Home Health Agency
- Home Health Agency
- Raleigh, NC
- NPI 1942252853
-
dba WakeMed Mental Health & Well-Being Hospital WakeBrook
- Psychiatric Hospital Unit
- Raleigh, NC
- NPI 1780446302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592438400000",
"number": "1902339104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12303 DE PAUL DR",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD STE 7005B",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418275",
"telephone_number": "314-991-3668"
}
],
"practiceLocations": [
{
"address_1": "12303 De Paul Dr",
"address_purpose": "LOCATION",
"city": "Bridgeton",
"state": "MO",
"postal_code": "630442512",
"country_code": "US",
"telephone_number": "314-344-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORADIA",
"first_name": "JAY",
"middle_name": "J",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-05",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MO",
"license": "2020016572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.