Active NPI
Kenneth Steven Moss, MD
- Pain Medicine (Anesthesiology) Physician
- Bedford Heights, OH
National Provider Identifier
1942316245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 35-040909
- Practice address
- 88 Center Rd
Suite 100
Bedford Heights, OH 44146-2700 - Phone
- (216) 291-9665
- Fax
- (440) 449-0803
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 35-040909 | OH | Primary |
Addresses
Primary practice location
88 Center Rd
Suite 100
Bedford Heights, OH 44146-2700
Mailing address
2428 Cedarwood Rd
Pepper Pike, OH 44124-4239
Phone (440) 449-0393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081027000131 | OH | Practitioner - Anesthesiology | 9931267507 | Practice locations: Parma, OH; Bedford HTS, OH |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Washington University School of Medicine, 1976
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2428 Cedarwood Rd
Pepper Pike, OH 44124-4239
88 Ctr Rd
Suite 100
Bedford HTS, OH 44146-2708
Phone (216) 291-9665
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-040909 | OH | MD | Pain Medicine (Anesthesiology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218585600000",
"number": "1942316245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2428 CEDARWOOD RD",
"city": "PEPPER PIKE",
"state": "OH",
"postal_code": "441244239",
"telephone_number": "440-449-0393",
"fax_number": "440-449-0803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 CENTER RD",
"address_2": "SUITE 100",
"city": "BEDFORD HEIGHTS",
"state": "OH",
"postal_code": "441462700",
"telephone_number": "216-291-9665",
"fax_number": "440-449-0803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "KENNETH",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2008-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "OH",
"license": "35-040909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.