Active NPI
Jeffrey Jon Mojica, DO
- Anesthesiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- OS019392
- Practice address
- 111 S 11TH St Ste 8290
Philadelphia, PA 19107-4824 - Phone
- (215) 955-6161
- NPI assigned
- Apr 14, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | OS019392 | PA | |
| Anesthesiology Physician | 207L00000X | OS019392 | PA | Primary |
Addresses
Primary practice location
111 S 11TH St Ste 8290
Philadelphia, PA 19107-4824
Mailing address
111 S 11TH St Ste 8290
Philadelphia, PA 19107-4824
Phone (215) 955-6161
Other practice location 1
8300 Floyd Curl Dr
San Antonio, TX 78229-3931
Phone (210) 450-9180
Other practice location 2
4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 403379701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 S 11TH St
Suite 8490
Philadelphia, PA 19107-4824
Phone (215) 955-6161
Hospital & facility affiliations
- Thomas Jefferson University Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS019392 | PA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| University of Texas Health Science Center at San Antonio | Anesthesiology | Current | Accepting new patients |
| Jefferson University Physicians | Anesthesiology | Current | Accepting new patients |
| University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| Jefferson University Physicians | Past | Accepting new patients |
Locations
111 S 11th St
Ste 8490
Philadelphia, PA 19107
Phone (215) 955-6161
900 Walnut St
Fl 2
Philadelphia, PA 19107
Phone (215) 955-1234
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
111 S 11th St
Ste 8280
Philadelphia, PA 19107
Phone (215) 955-2370
111 S 11th St
Ste 8290
Philadelphia, PA 19107
Phone (215) 955-2370
7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700
4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555
5282 Medical Dr
Ste 614
San Antonio, TX 78229
Phone (210) 450-9850
8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300
Organizations & group practices 5
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.
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
Anesthesiology
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
Anesthesiology
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
-
- Diagnostic Radiology Physician
- Boerne, TX
- NPI 1417921834
-
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1942629316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S 11TH ST STE 8290",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074824",
"telephone_number": "215-955-6161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S 11TH ST STE 8290",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074824",
"telephone_number": "215-955-6161"
}
],
"practiceLocations": [
{
"address_1": "8300 Floyd Curl Dr",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782293931",
"country_code": "US",
"telephone_number": "210-450-9180",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4502 Medical Dr",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "78229",
"country_code": "US",
"telephone_number": "210-358-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOJICA",
"first_name": "JEFFREY",
"middle_name": "JON",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-14",
"last_updated": "2021-07-12",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "PA",
"license": "OS019392",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "OS019392",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "403379701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.