JEFFREY P. MOAK MD
NPI 1083708408
Pediatrics - Pediatric Cardiology in Washington, DC
About Jeffrey P. Moak Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFREY P. MOAK MD (NPI 1083708408) is an individual pediatric cardiology provider in Washington, District Of Columbia, licensed in District Of Columbia (MD19244) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeffrey P. Moak Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Jeffrey Moak reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Washington, DC 20010
- Reassigned Medicare billing, District of Columbia enrollment
- 1,417 clinicians in this Medicare group
Falls Church, VA 22042
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- Also billed through NPI 1588717755 (Virginia)
- 2,618 clinicians in this Medicare group
Clovis, NM 88101
- Reassigned Medicare billing, New Mexico enrollment
- 2,331 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
WASHINGTON, DC 20010
WASHINGTON, DC 20010
WASHINGTON, DC 20010
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 Jeffrey Moak's NPI number?
The NPI number for Jeffrey Moak is 1083708408. It was assigned to this individual provider in the NPPES registry on October 2, 2006.
Where is Jeffrey Moak located?
Jeffrey Moak practices at 111 Michigan Ave NW, Washington, DC 20010. The listed phone number is (202) 884-2020.
What is Jeffrey Moak's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Jeffrey Moak enrolled in Medicare?
Yes. Jeffrey Moak is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jeffrey Moak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Moak reassigns Medicare benefits to 3 organizations: Children's Hospital (Washington, DC), Inova Health Care Services (Falls Church, VA) and Presbyterian Healthcare Services (Clovis, NM). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Moak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jeffrey Moak was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jeffrey P. Moak, MD · NPI 1083708408
Pediatric Cardiology physician in Washington, District of Columbia. Individual provider, active in the CMS NPPES registry since October 2, 2006.
## Identity
- **NPI:** 1083708408 (Entity type: Individual)
- **Enumerated:** October 2, 2006
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** MD19244 (District of Columbia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 111 MICHIGAN AVE NW, Washington, DC 20010-2978
- **Phone:** (202) 884-2020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Children's Hospital (NPI 1780800128, Washington, DC); Inova Health Care Services (NPI 1952320061, Falls Church, VA); Presbyterian Healthcare Services (NPI 1629053509, Clovis, NM) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 9, 2007
- **Other identifiers:** Medicaid 0279559900 (DC); Medicaid 6724591 (VA); Medicare UPIN B24956; and 2 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1083708408) · Data from the CMS NPPES public registry.