JEFFREY P. MOAK MD
NPI 1083708408
Pediatrics - Pediatric Cardiology in Washington, DC

Active since October 02, 2006PECOS Enrolled
111 MICHIGAN AVE NW, WASHINGTON, DC 20010(202) 884-2020 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1083708408
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameJEFFREY P. MOAKCredential: MD
Location Address111 MICHIGAN AVE NWWashington, DC 20010-2978
Mailing Address111 Michigan Ave NwWashington, DC 20010-2978 · (202) 884-2020
Sole ProprietorYes
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1083708408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License Licensed in DC · MD19244
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
111 MICHIGAN AVE NW, Washington, DC 20010

Other Identifiers 5

Medicaid0279559900DC
Medicaid6724591VA
Medicare UPINB24956
Medicare ID-Type Unspecified707285C95
Other0160DC · Carefirst

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jeffrey P. Moak 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.

Surgery
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Pediatrics (Pediatric Cardiology)
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Anesthesiology (Pediatric Anesthesiology)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Medical Genetics (Clinical Genetics (M.D.))
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Pharmacist (Pharmacotherapy)
111 MICHIGAN AVE NW
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.

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.