Marilyn Carol Moss, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME22466 Issued in FL

Practice address

2100 N Wickham Rd
Melbourne, FL 32935-8110

Phone

(321) 752-7100

Fax

(321) 752-7105

NPI assigned

May 23, 2005

Last updated

Mar 20, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Family Practice

Education

University of Miami, LM Miller School of Medicine, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Doccs IncGroup PAC ID 2466709555, 5 clinicians

Diagnostic and Clinical Care Services IncGroup PAC ID 4385645605, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Diagnostic and Clinical Care Services Inc

  dba Doccs

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1326140716

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Urgent Doccs Inc

  • Urgent Care Clinic/Center
  • Melbourne, FL
  • NPI 1215210273
  Medicare reassignment Care Compare group NPD
• Marilyn C. Moss, M.D.

  • Family Medicine Physician
  • Melbourne, FL
  • NPI 1801914858
  Authorized official Same address or phone

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1962405126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358110",
            "telephone_number": "321-752-7100",
            "fax_number": "321-752-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358110",
            "telephone_number": "321-752-7100",
            "fax_number": "321-752-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "MARILYN",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME22466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064147200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Marie Moser, PA-C
• Miranda Anne Moses, MA, RMCHI
• Gary Mosher, MD
• Monica Sharmane Mosley
• Aaron Michael Moss, DO
• Mahmoud Mostafavi, M.D.
• Courtney Ly Mott, OTR/L
• Eunice Sarah Mowery, PA-C
• Amber W Moye, L.M.T
• Angela Moyer, APRN

• Family Medicine Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.

Verify at the official NPI Registry.