MOSEPELE MOSEPELE MD
NPI 1063649648
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since June 22, 2009PECOS Enrolled
3400 SPRUCE ST, ONE MALONEY, PHILADELPHIA, PA 19104(215) 662-2200 Get Directions Write a Review

NPPES record last updated: June 22, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mosepele Mosepele Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOSEPELE MOSEPELE MD (NPI 1063649648) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT195321) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063649648
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMOSEPELE MOSEPELECredential: MD
Location Address3400 SPRUCE ST, ONE MALONEYPhiladelphia, PA 19104-4206
Mailing Address3400 Spruce St, One MaloneyPhiladelphia, PA 19104-4206 · (215) 662-2200
Sole ProprietorNo
Enumeration DateJune 22, 2009
NPI 1063649648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
License Licensed in PA · MT195321
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedInternal MedicineTaxonomy 207R00000X · License MT195321 (PA)
3400 SPRUCE ST, Philadelphia, PA 19104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mosepele Mosepele Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Anesthesiology (Critical Care Medicine)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mosepele Mosepele's NPI number?

The NPI number for Mosepele Mosepele is 1063649648. It was assigned to this individual provider in the NPPES registry on June 22, 2009.

Where is Mosepele Mosepele located?

Mosepele Mosepele practices at 3400 Spruce St One Maloney, Philadelphia, PA 19104. The listed phone number is (215) 662-2200.

What is Mosepele Mosepele's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mosepele Mosepele enrolled in Medicare?

Yes. Mosepele Mosepele is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mosepele Mosepele was last updated on June 22, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.