IDEL I MOISA MD
NPI 1568463909
Otolaryngology in Glen Cove, NY
About Idel I Moisa Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IDEL I MOISA MD (NPI 1568463909) is an individual otolaryngology provider in Glen Cove, New York, licensed in New York (161323-1) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1983).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 2
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
Idel I Moisa Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Idel Moisa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mount Kisco, NY 10549
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Optum Medical Care PC
- 1,601 clinicians in this Medicare group
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 20
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11542 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Idel Moisa's NPI number?
The NPI number for Idel Moisa is 1568463909. It was assigned to this individual provider in the NPPES registry on August 9, 2005.
Where is Idel Moisa located?
Idel Moisa practices at 3 School St Ste 304, Glen Cove, NY 11542. The listed phone number is (516) 671-0085.
What is Idel Moisa's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Idel Moisa enrolled in Medicare?
Yes. Idel Moisa 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 organization bills Medicare for Idel Moisa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Idel Moisa reassigns Medicare benefits to Optum Medical Care, P.C. (Mount Kisco, NY). The 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 Idel Moisa'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 Idel Moisa was last updated on March 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Idel I Moisa, MD · NPI 1568463909
Otolaryngology physician in Glen Cove, New York. Individual provider, active in the CMS NPPES registry since August 9, 2005.
## Identity
- **NPI:** 1568463909 (Entity type: Individual)
- **Enumerated:** August 9, 2005
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 161323-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 3 SCHOOL ST, STE 304, Glen Cove, NY 11542-2548
- **Phone:** (516) 671-0085 · **Fax:** (516) 671-0272
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Optum Medical Care, P.C. (NPI 1982643003, Mount Kisco, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albert Einstein College Of Medicine Of Yeshiva University, class of 1983
## Record status
- **NPPES last updated:** March 3, 2008
- **Other identifiers:** Medicare UPIN A61864; Medicare PIN 28E811 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1568463909) · Data from the CMS NPPES public registry.