DR. RICHARD LEWIS MOUSSALLI DDS
NPI 1255495685
Dentist - General Practice in Decatur, MI

Active since December 20, 2006PECOS Enrolled
115 S PHELPS ST, DECATUR, MI 49045(269) 423-4961(269) 423-8927 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Richard Lewis Moussalli Dds NPPES

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

DR. RICHARD LEWIS MOUSSALLI DDS (NPI 1255495685) is an individual general practice provider in Decatur, Michigan, licensed in Michigan (2901014648) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255495685
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RICHARD LEWIS MOUSSALLICredential: DDS
Location Address115 S PHELPS STDecatur, MI 49045-1117
Mailing Address115 S Phelps StDecatur, MI 49045-1117 · (269) 423-4961 · Fax (269) 423-8927
Fax(269) 423-8927
Sole ProprietorNo
Enumeration DateDecember 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1255495685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 2901014648
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
115 S PHELPS ST, Decatur, MI 49045

Other Identifiers 1

Medicaid1844602MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Richard Lewis Moussalli Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Richard Moussalli's NPI number?

The NPI number for Richard Moussalli is 1255495685. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Richard Moussalli located?

Richard Moussalli practices at 115 S Phelps St, Decatur, MI 49045. The listed phone number is (269) 423-4961.

What is Richard Moussalli's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Richard Moussalli enrolled in Medicare?

Yes. Richard Moussalli is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Richard Moussalli was last updated on July 8, 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.