Individual provider Active NPI

Daniel Jack Moschillo, D.C.

  • Chiropractor
  • Hermitage, PA
National Provider Identifier
1912907999
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC008726 Issued in PA
Practice address
192 N Buhl Farm Dr
Hermitage, PA 16148-1773
Phone
(724) 347-5125
Fax
(724) 923-3015
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC008726 PA Primary

Addresses

Primary practice location

192 N Buhl Farm Dr
Hermitage, PA 16148-1773

Mailing address

192 N Buhl Farm Dr
Hermitage, PA 16148-1773
Phone (724) 347-5125

Other identifiers 9

IdentifierTypeStateIssuer
001469951OtherPAMEDICAL MUTUAL OF OHIO
001469238OtherPAPA BLUE CROSS/BLUE SHIELD
001469951OtherPAHIGHMARK BLUE SHIELD
522375090OtherPAHEALTH ASSURANCE
52-2375090OtherPAPA WORK COMP
1041072OtherPACIGNA/HEALTH AMERICA
001953053MedicaidPA
0019530530001MedicaidPA
3551313OtherPAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120405000101 PA Practitioner - Chiropractic 1355501305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

192 N Buhl Farm Dr
Hermitage, PA 16148-1773
Phone (724) 347-5125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC008726PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel J. Moschillo, DC Chiropractor CurrentSince Mar 1, 2003 Accepting new patients

Locations

192 N Buhl Farm Dr
Hermitage, PA 16148
Phone (724) 346-3668

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.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1912907999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 N BUHL FARM DR",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161481773",
            "telephone_number": "724-347-5125",
            "fax_number": "724-347-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 N BUHL FARM DR",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161481773",
            "telephone_number": "724-347-5125",
            "fax_number": "724-923-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCHILLO",
        "first_name": "DANIEL",
        "middle_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "001469951",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE CROSS/BLUE SHIELD",
            "identifier": "001469238",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "001469951",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE",
            "identifier": "522375090",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA WORK COMP",
            "identifier": "52-2375090",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA/HEALTH AMERICA",
            "identifier": "1041072",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001953053",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019530530001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3551313",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.