Individual provider Active NPI

Jason L Moshier, MD

  • Internal Medicine Physician
  • Goshen, IN
National Provider Identifier
1982672242
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01060576A Issued in IN
Practice address
2024 Dorchester CT Ste 2
Goshen, IN 46526-6546
Phone
(574) 537-1626
Fax
(574) 364-2939
NPI assigned
Mar 10, 2006
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01060576A IN Primary

Addresses

Primary practice location

2024 Dorchester CT Ste 2
Goshen, IN 46526-6546

Mailing address

2024 Dorchester CT Ste 2
Goshen, IN 46526-6546
Phone (574) 537-1626

Other identifiers 1

IdentifierTypeStateIssuer
200518120MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jason.moshier@goshenhealthdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050617000715 IN Practitioner - Internal Medicine 2860436029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goshen Health System IncGroup PAC ID 4880598572, 135 clinicians

Practice addresses (Care Compare)

2024 Dorchester CT
Suite 2
Goshen, IN 46526-6546
Phone (574) 537-1626

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Hospital Association Inc Current Accepting new patients
Major Hospital Past Accepting new patients
Care Group LLC Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jason.moshier@goshenhealthdirect.com

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 5

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1982672242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 DORCHESTER CT STE 2",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266546",
            "telephone_number": "574-537-1626",
            "fax_number": "574-364-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 DORCHESTER CT STE 2",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266546",
            "telephone_number": "574-537-1626",
            "fax_number": "574-364-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHIER",
        "first_name": "JASON",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01060576A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200518120",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jason.moshier@goshenhealthdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2024 Dorchester Ct Ste 2",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465266546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.