Individual provider Active NPI

Ronald L Mosiello, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Arundel, ME
National Provider Identifier
1932185642
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
1650 Issued in ME
Practice address
1232 Portland Rd Ste 5
Arundel, ME 04046-8104
Phone
(207) 464-9081
Fax
(866) 870-3254
NPI assigned
Dec 15, 2005
Last updated
Aug 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 1650 ME Primary

Addresses

Primary practice location

1232 Portland Rd Ste 5
Arundel, ME 04046-8104

Mailing address

1232 Portland Rd Ste 5
Arundel, ME 04046-8104
Phone (207) 464-9081

Other practice location 1

4 Shape Drive
Kennebunk, ME 04043
Phone (207) 283-1126

Other identifiers 1

IdentifierTypeStateIssuer
284880099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040120000571 ME Practitioner - Osteopathic Manipulative Medicine 3173424272 Reassigns benefits to 1 organization
Practice locations: Arundel, ME

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Philadelphia College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1232 Portland Rd
Suite 5
Arundel, ME 04046-8104
Phone (207) 464-9081

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1650MEMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Apr 26, 2010 Accepting new patients
Mainehealth CurrentSince Apr 26, 2010 Accepting new patients
University of New England Neuromusculoskeletal Medicine & Omm Past Accepting new patients

Locations

1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000

9 Healthcare Dr
Ste 201
Biddeford, ME 04005
Phone (207) 282-9080

4 Shape Dr
Kennebunk, ME 04043
Phone (207) 467-8988

655 Main St
Saco, ME 04072
Phone (207) 283-1407

Interoperability endpoints

  • Direct secure messaging: rmosiello157004@direct.mmc.mainehealth.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1932185642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 PORTLAND RD STE 5",
            "city": "ARUNDEL",
            "state": "ME",
            "postal_code": "040468104",
            "telephone_number": "207-464-9081",
            "fax_number": "866-870-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 PORTLAND RD STE 5",
            "city": "ARUNDEL",
            "state": "ME",
            "postal_code": "040468104",
            "telephone_number": "207-464-9081",
            "fax_number": "866-870-3254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Shape Drive",
            "address_purpose": "LOCATION",
            "city": "Kennebunk",
            "state": "ME",
            "postal_code": "04043",
            "country_code": "US",
            "telephone_number": "207-283-1126",
            "fax_number": "207-286-1359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSIELLO",
        "first_name": "RONALD",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "ME",
            "license": "1650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284880099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arundel, ME

Sources for this page

Verify at the official NPI Registry.