DR. HENRY E MOSS (DO) – Emergency Medicine Physician, NPI 1811551468

DR. HENRY E MOSS (DO) is a healthcare provider. based in Detroit, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 5101026531 (MI). The NPI Number for DR. HENRY E MOSS (DO) is 1811551468

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. HENRY E MOSS (DO)
NPI
1811551468
Phone
(313) 993-2529
Address
4201 Saint Antoine St Ste 6F
Enumeration Date
30 April 2019
Last Update Date
16 January 2024

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
3139162600
Graduation Year
2019 (7 years ago)
PAC ID
9133453566
Group Practice PAC ID
0547178311
Professional Enrollment ID
I20230818000203
Address ID
MI482022608DE2799XBLVD400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

3,158 EMERGENCY MEDICINE in MI

Provider Addresses for DR. HENRY E MOSS (DO)

  • 4201 Saint Antoine St Ste 6F

    Detroit, MI 482012153

    Phone: (313) 993-2529

    Fax: (313) 993-7703

    Type: Location

  • 634, West Lewiston Avenue, Ferndale, Oakland County, Michigan, 48220, United States

    FERNDALE, MI 482201204

    Phone: (248) 794-6462

    Type: Mailing

  • 6, Saint Antoine Street, Renaissance Center, Detroit, Wayne County, Michigan, 48226, United States

    DETROIT, MI 482012153

    Phone: (313) 993-2529

    Fax: (313) 993-7703

    Type: Location

  • 2799 W GRAND BLVD

    DETROIT, MI 482022608

    Phone: (313) 916-2600

    Fax: (313) 916-7437

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220907001798IEmergency MedicineCATBD
I20230818000203IEmergency MedicineMITBD

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
99285Emergency department visit with high level of medical decision making4343$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2018$0
99284Emergency department visit with moderate level of medical decision making1616$0
99291Critical care, first 30-74 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 48201)

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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: 0547178311View full group profile
NameSpecialtyState
-MI
Gastroenterology, Internal MedicinePA
Certified Registered Nurse Anesthetist (Crna)MI
Clinical Social WorkerMI
-MI
Physician AssistantMI
Qualified AudiologistMI
O P H T H A L M O L O G YMI
-MI
-MI

Reviews

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Frequently asked questions

Can I cross-check DR. HENRY E MOSS (DO) using NPI 1811551468?
NPI 1811551468 belongs to DR. HENRY E MOSS (DO); compare other details if you need extra assurance.
Is there an active status for DR. HENRY E MOSS (DO)?
For scheduling context, DR. HENRY E MOSS (DO) is shown as active in the registry.
What clinical focus is listed for DR. HENRY E MOSS (DO)?
At a glance, DR. HENRY E MOSS (DO) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. HENRY E MOSS (DO) associated with Detroit?
Public fields place DR. HENRY E MOSS (DO) around Detroit, Michigan. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. HENRY E MOSS (DO) is noted as April 30, 2019 where the registry provides it.

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