KIRK MOBERG MD
NPI 1235153677
Internal Medicine - Addiction Medicine in Urbana, IL

Active since July 27, 2006
602 W UNIVERSITY AVENUE, ADMINISTRATION, URBANA, IL 61801(217) 383-6039 Get Directions Write a Review

NPPES record last updated: June 12, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kirk Moberg Md NPPES

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

KIRK MOBERG MD (NPI 1235153677) is an individual addiction medicine provider in Urbana, Illinois, licensed in Illinois (036084765) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1235153677
Entity TypeIndividualMale
Primary Taxonomy207RA0401X
Provider Legal NameKIRK MOBERGCredential: MD
Location Address602 W UNIVERSITY AVENUE, ADMINISTRATIONUrbana, IL 61801
Mailing AddressP.o. Box 6002Urbana, IL 61803-6002 · (217) 326-8300
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateJune 12, 2012
NPI 1235153677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License Licensed in IL · 036084765
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
602 W UNIVERSITY AVENUE, Urbana, IL 61801

Other Identifiers 4

Medicare UPINF11054IL
Medicare NSC6447860011IL
Medicare PINIL3270150IL
Medicare UPINF11054

Other Providers at the Same Location NPPES 4

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

Pathology (Anatomic Pathology & Clinical Pathology)
602 W UNIVERSITY AVENUE, PATHOLOGY LAB
URBANA, IL 61801
Social Worker (Clinical)
602 W UNIVERSITY AVENUE, PEDIATRICS
URBANA, IL 61801
Optometrist
602 W UNIVERSITY AVENUE, OPHTHALMOLOGY/OPTOMETRY
URBANA, IL 61801
Internal Medicine (Pulmonary Disease)
602 W UNIVERSITY AVENUE, PULMONARY MEDICINE
URBANA, IL 61801

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 Kirk Moberg's NPI number?

The NPI number for Kirk Moberg is 1235153677. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Kirk Moberg located?

Kirk Moberg practices at 602 W University Avenue Administration, Urbana, IL 61801. The listed phone number is (217) 383-6039.

What is Kirk Moberg's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for Kirk Moberg was last updated on June 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.