Individual provider Active NPI

David Moses, MD

  • Maternal & Fetal Medicine Physician
  • Dearborn, MI
National Provider Identifier
1952389231
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
DM048222 Issued in MI
Practice address
2142 Monroe St Ste 100
Dearborn, MI 48124-3057
Phone
(313) 481-1030
Fax
(313) 481-1031
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X DM048222 MI Primary

Addresses

Primary practice location

2142 Monroe St Ste 100
Dearborn, MI 48124-3057

Mailing address

2142 Monroe St Ste 100
Dearborn, MI 48124-3057
Phone (313) 481-1030

Other practice location 1

5450 Fort St
Trenton, MI 48183-4601
Phone (734) 671-3800

Other practice location 2

18181 Oakwood Blvd
Suite # 302
Dearborn, MI 48124-5032
Phone (313) 593-5845

Other practice location 3

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (947) 521-8000

Other identifiers 5

IdentifierTypeStateIssuer
364509477OtherMITAX ID
4944657MedicaidMI
4793786MedicaidMI
160H229520OtherMIBCBSM
4299391OtherMIAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmoses96558@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040401000299 MI Practitioner - Obstetrics/Gynecology 2769474543 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2142 Monroe St
Suite 100
Dearborn, MI 48124-3057
Phone (313) 481-1030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DM048222MIMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group Hospital -Based Services CurrentSince Aug 29, 2018 Accepting new patients
McLaren Macomb Obstetrics & Gynecology CurrentSince Jun 12, 2020 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Mar 12, 2018 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jan 7, 2025 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Sep 1, 2022 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Sep 1, 2022 Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Oct 3, 2009 Accepting new patients
Oakwood Ambulatory LLC Obstetrics & Gynecology CurrentSince Oct 3, 2009 Accepting new patients
Henry Ford Health St. John Hospital Obstetrics & Gynecology CurrentSince Jan 7, 2025 Accepting new patients
Pathology Specialists of Southeast Michigan PC Current Accepting new patients
Oakwood Group VIII LLC PastSince Aug 4, 2005 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Henry Ford Health System Past Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

37399 Garfield Rd
Ste 203
Clinton Twp, MI 48036
Phone (586) 228-2911

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

2142 Monroe St
Ste 100
Dearborn, MI 48124
Phone (313) 481-1030

18181 Oakwood Blvd
Ste 302
Dearborn, MI 48124
Phone (313) 593-5845

18181 Oakwood Blvd
Ste 310
Dearborn, MI 48124
Phone (313) 593-5862

22151 Moross Rd
Ste 320B
Detroit, MI 48236

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000

28100 Grand River Ave
Ste 206
Farmington Hills, MI 48336
Phone (248) 471-1549

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

28100 Grand River Ave
Ste 306
Farmington Hills, MI 48336
Phone (248) 476-1010

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

22201 Moross Rd
Ste 370
Grosse Pointe Woods, MI 48236
Phone (313) 343-4585

22151 Moross Rd
Ste 320
Grosse Pointe Woods, MI 48236
Phone (313) 343-4690

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

8790 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-2520

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

5450 Fort St
Woodhaven, MI 48183
Phone (734) 671-3297

Interoperability endpoints

  • Direct secure messaging: dmoses96558@direct.beaumont.edu
  • Direct secure messaging: david.moses.1@8209.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1952389231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 MONROE ST STE 100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243057",
            "telephone_number": "313-481-1030",
            "fax_number": "313-481-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 MONROE ST STE 100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243057",
            "telephone_number": "313-481-1030",
            "fax_number": "313-481-1031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5450 Fort St",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "MI",
            "postal_code": "481834601",
            "country_code": "US",
            "telephone_number": "734-671-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18181 Oakwood Blvd",
            "address_2": "Suite # 302",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481245032",
            "country_code": "US",
            "telephone_number": "313-593-5845",
            "fax_number": "313-593-8918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28050 Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483365919",
            "country_code": "US",
            "telephone_number": "947-521-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSES",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MI",
            "license": "DM048222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "364509477",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4944657",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4793786",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "160H229520",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4299391",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmoses96558@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "28050 Grand River Ave",
            "city": "Farmington Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483365919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.