Individual provider Active NPI

Benjamin Moss, M.D.

  • Emergency Medicine Physician
  • Danville, KY
National Provider Identifier
1932241528
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
43019 Issued in KY
Practice address
1522 Webster Rd
Danville, KY 40422-9063
Phone
(502) 930-9434
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 43019 KY Primary

Addresses

Primary practice location

1522 Webster Rd
Danville, KY 40422-9063

Mailing address

1522 Webster Rd
Danville, KY 40422-9063
Phone (502) 930-9434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20071221000156 KY Practitioner - Emergency Medicine 5890885214 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Louisville School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empact Midwest LLCGroup PAC ID 9436577517, 25 clinicians

Practice addresses (Care Compare)

217 S 3Rd St
Danville, KY 40422-1823
Phone (859) 239-1000

Hospital & facility affiliations

  • Ephraim McDowell Regional Medical Center Hospital, Danville, KY, CCN 180048
  • Ephraim McDowell Fort Logan Hospital Hospital, Stanford, KY, CCN 181315
  • The James B. Haggin Memorial Hospital Hospital, Harrodsburg, KY, CCN 181302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43019KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The James B. Haggin Memorial Hospital Inc CurrentSince Jun 20, 2024 Accepting new patients
The James B. Haggin Memorial Hospital Inc CurrentSince Jun 20, 2024 Accepting new patients
Nick Dedman, MD and Associates, P.S.C. Current Accepting new patients
Empact Midwest LLC Emergency Medicine CurrentSince Sep 1, 2020 Accepting new patients
Ephraim McDowell Health Resource,Inc CurrentSince Jun 20, 2024 Accepting new patients
Ephraim McDowell Health Resource, Inc CurrentSince Jun 20, 2024 Accepting new patients
Ephraim McDowell Health Resource, Inc. Current Accepting new patients
The James B. Haggin Memorial Hospital Inc Emergency Medicine Current Accepting new patients
Kentuckiana Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients

Locations

1541 Lebanon Rd
Ste 1
Danville, KY 40422
Phone (859) 236-3208

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

1509 Louisville Rd
Harrodsburg, KY 40330
Phone (859) 236-7712

466 Linden Ave
#A
Harrodsburg, KY 40330
Phone (859) 734-5173

464 Linden Ave
Harrodsburg, KY 40330
Phone (859) 734-5441

110 Metker Trl
Stanford, KY 40484
Phone (606) 365-3360

Organizations & group practices 9

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1932241528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 WEBSTER RD",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404229063",
            "telephone_number": "502-930-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 WEBSTER RD",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404229063",
            "telephone_number": "502-930-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "43019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

Verify at the official NPI Registry.