GUY RUDOLPH MOISE (DO) – Family Medicine Physician, NPI 1366431983

GUY RUDOLPH MOISE (DO) is a healthcare provider. based in North miami, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. OS 0004440 (FL). The NPI Number for GUY RUDOLPH MOISE (DO) is 1366431983

Main info

Male
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
GUY RUDOLPH MOISE (DO)
NPI
1366431983
Phone
(305) 688-0811
Address
671 NW 119TH ST
Enumeration Date
17 October 2005
Last Update Date
23 February 2024

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
3056884178
Graduation Year
1981 (45 years ago)
PAC ID
3577581180
Group Practice PAC ID
3971521584
Professional Enrollment ID
I20110803000270
Address ID
FL331682522NO671XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for GUY RUDOLPH MOISE (DO)

  • 671, Northwest 119th Street, North Miami, Miami-Dade County, Florida, 33168, United States

    NORTH MIAMI, FL 331682522

    Phone: (305) 688-0811

    Fax: (305) 687-5831

    Type: Mailing

  • 650 NW 120TH ST

    NORTH MIAMI, FL 331682529

    Phone: (305) 688-0811

    Fax: (305) 687-5831

    Type: Mailing

  • 650, Northwest 120th Street, North Miami, Miami-Dade County, Florida, 33168, United States

    NORTH MIAMI, FL 331682529

    Phone: (305) 688-0811

    Fax: (305) 687-5831

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $639.

Total Amount is formed as General ($639) + Research ($0) + Ownership ($0) = $639.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($503).

Total Amount

$639

General + Research + Ownership

Payments

25

Total payment records

General Amount

$639

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-08-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110803000270IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes8446$0
99214Established patient office or other outpatient visit, 30-39 minutes6028$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3232$0
View full utilization report →

Insurance plans in this area (ZIP 33168)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971521584View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What number should I use to identify GUY RUDOLPH MOISE (DO) for billing?
Administrative and clinical systems typically use NPI 1366431983 for GUY RUDOLPH MOISE (DO).
Is GUY RUDOLPH MOISE (DO) currently accepting referrals based on NPI status?
Registry metadata lists GUY RUDOLPH MOISE (DO) as active.
What does the directory say GUY RUDOLPH MOISE (DO) does?
Insurance directories may phrase it differently, but here GUY RUDOLPH MOISE (DO) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is GUY RUDOLPH MOISE (DO) tied to North Miami, Florida?
If you are local to North Miami, Florida, GUY RUDOLPH MOISE (DO) may be relevant to your search.
Can I export GUY RUDOLPH MOISE (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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