Individual provider Active NPI

Ankush Moza, M.D

  • Cardiovascular Disease Physician
  • Flint, MI
National Provider Identifier
1982834826
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301111766 Issued in MI
Practice address
1165 S Linden Rd
Flint, MI 48532-3406
Phone
(810) 732-5400
NPI assigned
Jul 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301111766 MI Primary

Addresses

Primary practice location

1165 S Linden Rd
Flint, MI 48532-3406

Mailing address

1165 S Linden Rd
Flint, MI 48532-3406
Phone (810) 732-5400

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
I20170908000099 MI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0042476210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Cardiovascular Consultants PCGroup PAC ID 8820392855, 3 clinicians

Practice addresses (Care Compare)

1629 W Big Beaver Rd
Troy, MI 48084-3542
Phone (248) 480-0363

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Cardiovascular Consultants PC CurrentSince Apr 7, 2023 Accepting new patients
CT Center of Flint, PLLC Past Accepting new patients
Hammam Zmily MD PC Cardiovascular Disease Past Accepting new patients
University of Toledo Physicians LLC Cardiovascular Disease Past Accepting new patients

Locations

311 Mack Ave
Ste 61100
Detroit, MI 48201
Phone (248) 243-1263

2632 S Rochester Rd
Unit 70306
Rochester Hills, MI 48307

12701 Telegraph Rd
Ste 202
Taylor, MI 48180
Phone (734) 288-3370

1629 W Big Beaver Rd
Troy, MI 48084
Phone (248) 480-0363

Interoperability endpoints

  • Direct secure messaging: amoza1049993@direct.hfhs.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 6

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": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1982834826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323406",
            "telephone_number": "810-732-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323406",
            "telephone_number": "810-732-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZA",
        "first_name": "ANKUSH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-24",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301111766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.