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KEN MOADEL M.D.
NPI 1407972326
Specialist in New York, NY

Active since March 22, 2007PECOS Enrolled
110 E 40TH ST FL 6, NEW YORK, NY 10016(212) 490-3937 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ken Moadel M.d. NPPES

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

KEN MOADEL M.D. (NPI 1407972326) is an individual specialist in New York, New York, licensed in New York (182752) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1407972326
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameKEN MOADELCredential: M.D.
Location Address110 E 40TH ST FL 6New York, NY 10016-1820
Mailing Address110 E 40th St Fl 6New York, NY 10016-1820
Phone(212) 490-3937
Sole ProprietorYes
Enumeration DateMarch 22, 2007
Last NPPES UpdateJuly 27, 2021
NPPES CertifiedJuly 27, 2021
✔ NPI 1407972326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 182752
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
110 E 40TH ST FL 6, New York, NY 10016
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Secondary Practice Location 1

Location 1317 Madison Ave, Suite 1215New York, NY 10017-5201 · Phone (212) 490-3937 · Fax (212) 490-0092

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ken Moadel M.d. 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.

Other Providers at the Same Location NPPES 2

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

DR. MATTHEW C BURKE OD
Optometrist
110 E 40TH ST FL 6
NEW YORK, NY 10016
New York County (917) 979-1111
MOADEL MIDTOWN LLC
Clinic/Center (Ambulatory Surgical)
110 E 40TH ST FL 6
NEW YORK, NY 10016
New York County (212) 490-3937

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 Ken Moadel's NPI number?

The NPI number for Ken Moadel is 1407972326. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Ken Moadel located?

Ken Moadel practices at 110 E 40th St Fl 6, New York, NY 10016. The listed phone number is (212) 490-3937.

What is Ken Moadel's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Ken Moadel enrolled in Medicare?

Yes. Ken Moadel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ken Moadel was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.