Individual provider Active NPI

Philip Emerson Moberg, M.D.

  • Rheumatology Physician
  • Seattle, WA
National Provider Identifier
1972745230
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD00048521 Issued in WA
Practice address
10330 Meridian Ave N
Suite 250
Seattle, WA 98133-9451
Phone
(206) 368-6123
Fax
(206) 368-6178
NPI assigned
Apr 1, 2009
Last updated
Nov 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A94684 CA
Rheumatology Physician 207RR0500X A94684 CA
Rheumatology Physician 207RR0500X MD00048521 WA Primary

Addresses

Primary practice location

10330 Meridian Ave N
Suite 250
Seattle, WA 98133-9451

Mailing address

10330 Meridian Ave N
Suite 250
Seattle, WA 98133-9451
Phone (206) 368-6123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20100903000979 WA Practitioner - Rheumatology 2365566817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of California, San Francisco School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Association of University PhysiciansGroup PAC ID 0446162697, 3,484 clinicians
University of WashingtonGroup PAC ID 3274445150, 12 clinicians

Practice addresses (Care Compare)

10330 Meridian Ave N
Suite 190
Seattle, WA 98133-9484
Phone (206) 368-6360

10330 Meridian Ave N
Suite 260
Seattle, WA 98133-9495
Phone (206) 598-0281

12505 Greenwood Ave N
Ida Culver House Broadview Health Care Cent
Seattle, WA 98133-8040
Phone (206) 368-3797

1355 N 205TH St
Shoreline, WA 98133-3215
Phone (206) 542-5656

1550 N 115TH St
Seattle, WA 98133-8401
Phone (206) 364-0500

1560 N 115TH St
Suite G5
Seattle, WA 98133-8414
Phone (206) 368-1626

1570 N 115TH St
Seattle, WA 98133-8401
Phone (206) 306-2800

16357 Aurora Ave N
Arden Rehabilitation and Healthcare Center
Seattle, WA 98133-5651
Phone (206) 542-3103

1701 Columbia Rd
Seattle, WA 98195-0001
Phone (206) 598-3100

1959 NE Pacific St
Seattle, WA 98195-0001
Phone (206) 598-4333

3800 Montlake Blvd NE
Seattle, WA 98195-0007
Phone (206) 598-1534

4060 E Stevens Way
Hall Health Primary Care Ctr
Seattle, WA 98195-4410
Phone (206) 616-2495

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as apm
Quality
74.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00048521WAMDCardiovascular Disease Physician
A94684CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Washington CurrentSince Jan 24, 2023 Accepting new patients
University of Washington Current Accepting new patients
University of Washington CurrentSince Jan 24, 2023 Accepting new patients

Locations

10330 Meridian Ave N
Ste 200
Seattle, WA 98133
Phone (206) 368-6644

10330 Meridian Ave N
Ste 250
Seattle, WA 98133
Phone (206) 368-6123

10330 Meridian Ave N
Ste 260
Seattle, WA 98133
Phone (206) 598-0281

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

4333 Brooklyn Ave NE
Seattle, WA 98195
Phone (206) 597-4414

Interoperability endpoints

  • Direct secure messaging: pmoberg106061@direct.ehre.uwmedicine.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1972745230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 MERIDIAN AVE N",
            "address_2": "SUITE 250",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339451",
            "telephone_number": "206-368-6123",
            "fax_number": "206-368-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 MERIDIAN AVE N",
            "address_2": "SUITE 250",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339451",
            "telephone_number": "206-368-6123",
            "fax_number": "206-368-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBERG",
        "first_name": "PHILIP",
        "middle_name": "EMERSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-01",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A94684",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A94684",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WA",
            "license": "MD00048521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.