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MOSES E WILCOX SR MD PA
NPI 1205071602
Clinic/Center in Nederland, TX

Active since December 13, 2008CLIA 45D0908597 · Microscopy
1120 S 27TH ST, NEDERLAND, TX 77627(409) 727-0794(409) 727-6030 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Moses E Wilcox Sr Md Pa NPPES

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

MOSES E WILCOX SR MD PA (NPI 1205071602) is a healthcare organization registered as a clinic/center in Nederland, Texas and active in the NPI registry since December 2008. The organization holds a CLIA Microscopy certificate valid through November 8, 2027 and lists Moses Edward Wilcox, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205071602
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMOSES E WILCOX SR MD PA
Location Address1120 S 27TH STNederland, TX 77627-6224
Mailing Address1120 S 27th StNederland, TX 77627-6224 · (409) 727-0794 · Fax (409) 727-6030
Phone(409) 727-0794
Fax(409) 727-6030
Organization SubpartNo
Authorized OfficialMoses Edward WilcoxCeo · (409) 727-0794
Enumeration DateDecember 13, 2008
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1205071602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in TX · J7728
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1120 S 27TH ST, Nederland, TX 77627
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moses E Wilcox Sr Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Moses E Wilcox Sr MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Moses Wilcox, MD
Urology
NPI 1033192901
1120 S 27TH ST
Nederland, TX 77627
(409) 727-0794
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D0908597

Moses E Wilcox Sr MD · Nederland, TX
Active · expires Nov 8, 2027
CLIA Number45D0908597
Laboratory TypePhysician Office
Certificate Effective DateNovember 9, 2025
Certificate Expiration DateNovember 8, 2027
Laboratory DirectorMoses E. Wilcox MD
Laboratory Phone(409) 727-0794
Laboratory LocationMoses E Wilcox Sr MD1120 S 27th Street, Nederland, TX 77627
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Moses E Wilcox Sr MD PA's NPI number?

The NPI number for Moses E Wilcox Sr MD PA is 1205071602. It was assigned to this organization in the NPPES registry on December 13, 2008.

Where is Moses E Wilcox Sr MD PA located?

Moses E Wilcox Sr MD PA is located at 1120 S 27th St, Nederland, TX 77627. The listed phone number is (409) 727-0794.

What is Moses E Wilcox Sr MD PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Moses E Wilcox Sr MD PA enrolled in Medicare?

Yes. Moses E Wilcox Sr MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Moses E Wilcox Sr MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Moses E Wilcox Sr MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Moses E Wilcox Sr MD PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0908597) is associated with this NPI, valid through November 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Moses E Wilcox Sr MD PA was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.