MOTAZ MOUSSA MD – NPI #1306178256
Internal Medicine

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

MOTAZ MOUSSA is a physician located in DAVENPORT, FL. NPPES has assigned the NPI number 1306178256 to MOTAZ MOUSSA on February 03, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RI0011X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Interventional Cardiology

The NPI profile was previously updated about 3 years ago on Oct 23, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOTAZ MOUSSA below.

NPI Profile for
MOTAZ MOUSSA

NPI Number
1306178256
Enumeration Date

(more than 16 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MOTAZ MOUSSA
Credentials
MD
Primary location
410 LIONEL WAY STE 201
DAVENPORT, FL 33837-7809
Phone: (863) 422-5331 Fax: (863) 422-5336
2 Other location(s):
807 Farson St Ste 204A
Belpre, OH 45714-1069
Phone: (740) 568-5207
400 Matthew St
Suite 302
Marietta, OH 45750-1644
Phone: (740) 568-5207
Fax: (740) 568-5297
Mailing address
PO BOX 449
MARIETTA, OH 45750-0449
Phone: (740) 374-4500 Fax: (740) 374-5887
Sole Proprietor
Yes
Updated
Certification Date
Oct 23, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MOTAZ MOUSSA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherRAILROAD MEDICARE - MHCPIOHP01784682
medicaidOH0175394
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RI0011X
- Internal Medicine / Interventional Cardiology (Primary)
FL ME156847
207RC0000X
- Internal Medicine / Cardiovascular Disease
OH 35.129093

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
400 MATTHEW ST,
MARIETTA, OH 77025-1669

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
807 FARSON ST STE 204A,
BELPRE, OH 77025-1669

Additional Information

Education
DUKE UNIVERSITY SCHOOL OF MEDICINE - Graduated 2016
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
Affiliations
MOTAZ MOUSSA is affiliated with the following medical group(s):
  • HOSPITAL
    • MARIETTA MEMORIAL HOSPITAL
      401 MATTHEW STREET
      MARIETTA, OH 45750
    • MEDICAL CENTER OF TRINITY
      9330 SR 54, STE 401
      TRINITY, FL 34655
    • REGIONAL MEDICAL CENTER BAYONET POINT
      14000 FIVAY RD
      HUDSON, FL 34667
    • SELBY GENERAL HOSPITAL
      1106 COLEGATE DRIVE
      MARIETTA, OH 45750

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If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.