DR. JACK J MOSS MD
NPI 1346225406
Radiology - Diagnostic Radiology in Indianapolis, IN

Q: What is Jack Moss's NPI number?

The NPI number for Jack Moss is 1346225406. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Q: What is Jack Moss's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Jack Moss was last updated on October 3, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 13, 2005

5901 TECHNOLOGY CENTER DR, INDIANAPOLIS, IN 46278(317) 328-5050(317) 715-9965 Get Directions Write a Review

NPPES record last updated: October 3, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jack J Moss Md NPPES

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

DR. JACK J MOSS MD (NPI 1346225406) is an individual diagnostic radiology provider in Indianapolis, Indiana, licensed in Indiana (01030758A) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1346225406

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. JACK J MOSSCredential: MD

Location Address5901 TECHNOLOGY CENTER DRIndianapolis, IN 46278-6013

Mailing Address5901 Technology Center DrIndianapolis, IN 46278-6013 · (317) 328-5050 · Fax (317) 328-5053

Phone(317) 328-5050

Fax(317) 715-9965

Sole ProprietorNo

Enumeration DateDecember 13, 2005

Last NPPES UpdateOctober 3, 2016

✔ NPI 1346225406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in IN · 01030758A

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

5901 TECHNOLOGY CENTER DR, Indianapolis, IN 46278

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Other Identifiers 9

Other000000082122IN · Anthem-351158723

Other060963IN · Health Alliance-351158723

Medicare PIN026010FFIN

Other300100709IN · Rr Medicare-351158723

Other002938IN · Siho-351158723

OtherQ0084711IN · Cmosho351158723&352047427

Medicare UPIND94366IN

Medicaid100369250IN

Other000000492363IN · Anthem 203778927

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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.

DR. CARYN C ANDERSON MD

Radiology (Diagnostic Radiology)