1. Home
  2. Directory
  3. Massachusetts
  4. Burlington
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MICHAEL D MOFFITT M.D.
NPI 1396030920
Student in an Organized Health Care Education/Training Program in Burlington, MA

Active since June 11, 2011PECOS EnrolledAccepts Medicare Assignment
41 MALL RD, BURLINGTON, MA 01805(781) 744-5700(781) 744-5358 Get Directions Write a Review

NPPES record last updated: June 11, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael D Moffitt M.d. NPPES

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

MICHAEL D MOFFITT M.D. (NPI 1396030920) is an individual student in an organized health care education/training program in Burlington, Massachusetts, licensed in Massachusetts (248223) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Meharry Medical College School Of Medicine (2011).

NPPES Registry Identity

NPI1396030920
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL D MOFFITTCredential: M.D.
Location Address41 MALL RDBurlington, MA 01805-0001
Mailing Address41 Mall RdBurlington, MA 01805-0001 · (781) 744-5700 · Fax (781) 744-5358
Phone(781) 744-5700
Fax(781) 744-5358
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2011
Enumeration DateJune 11, 2011
✔ NPI 1396030920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MA · 248223
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
41 MALL RD, Burlington, MA 01805
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael D Moffitt M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719297464
PECOS Enrollment IDI20151109000544
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Moffitt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

California Anesthesia Associates Medical Group, Inc.
2,594 mi
Anesthesiology
2801 ATLANTIC AVE
Long Beach, CA 90806
  • Reassigned Medicare billing, California enrollment
  • 107 clinicians in this Medicare group
NPI 1457399933 (562) 933-2000
Allied Anesthesia Medical Group Inc
  • Reassigned Medicare billing, California enrollment
  • 420 clinicians in this Medicare group
No phone listed

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
16 services15 patients
Anesthesia for other procedure on skin of arms, legs, and front body 00400
Anesthesia for procedures on the skin of your arms, legs, and front body is a service that numbs the area being treated. This ensures you don't feel pain during procedures like biopsies, stitches, or minor surgeries. It's administered through a small injection or a topical cream.
11 services11 patients

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.

SAHOOR KHAN
Internal Medicine (Interventional Cardiology)
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-8000
FNU KALEEMULLAH MD
Hospitalist
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-8000
ARLENE DEBORAH STOLLER ACNS
Registered Nurse
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (617) 460-2222
THAIS BITENCOURT ROBERTS AGNP
Nurse Practitioner
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-8000
JULIE ALHADY
Pharmacist
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-7592
DR. MEHDI KHANI MD
Student in an Organized Health Care Education/Training Program
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-5100
FATIMA RODA
Physician Assistant
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-5100
RAISA CUCCIO NP
Nurse Practitioner
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-8000

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 Michael Moffitt's NPI number?

The NPI number for Michael Moffitt is 1396030920. It was assigned to this individual provider in the NPPES registry on June 11, 2011.

Where is Michael Moffitt located?

Michael Moffitt practices at 41 Mall Rd, Burlington, MA 01805. The listed phone number is (781) 744-5700.

What is Michael Moffitt's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michael Moffitt enrolled in Medicare?

Yes. Michael Moffitt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michael Moffitt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Moffitt reassigns Medicare benefits to 2 organizations: California Anesthesia Associates Medical Group, Inc. (Long Beach, CA) and Allied Anesthesia Medical Group Inc (CA). Each 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 Michael Moffitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Moffitt was last updated on June 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.