DANIEL MOUSSA
NPI 1801479696
Obstetrics & Gynecology in Southgate, MI

NPI Status: Active since April 30, 2021

Contact Information

15675 NORTHLINE RD
SOUTHGATE, MI
ZIP 48195
Phone: (734) 282-3600
Fax: (734) 282-3603

NPI Profile Information
Primary Taxonomy
Secondary Locations
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Obstetrics & Gynecology
PECOS Enrolled

About DANIEL MOUSSA

This page provides the complete NPI Profile along with additional information for Daniel Moussa, a women's health care provider established in Southgate, Michigan with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1801479696 assigned on April 2021. The practitioner's primary taxonomy code is 207V00000X with license number 4301513702 (MI). The provider is registered as an individual and his NPI record was last updated June 2025.

NPI: 1801479696
Provider Name: DANIEL MOUSSA
Gender: Male
Entity Type: Individual
Location Address: 15675 NORTHLINE RD SOUTHGATE, MI 48195
Location Phone: (734) 282-3600
Location Fax: (734) 282-3603
Mailing Address: 1 FORD PL STE 3A DETROIT, MI 48202
Mailing Phone: (313) 874-4806
Is Sole Proprietor?: No
Enumeration Date: 04-30-2021
Last Update Date: 06-02-2025
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Women's health care providers like Daniel Moussa treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Secondary Locations

4201 Saint Antoine St # 9C
Detroit, MI 48201
(313) 745-3000

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Obstetrics & Gynecology
Taxonomy Code: 207V00000X
Type: Allopathic & Osteopathic Physicians
License No.: 4301513702
License State: MI
Taxonomy Description: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Medicare Participation & PECOS Enrollment Status

Daniel Moussa is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 48195 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

Average New Patient Price $134.28
Minimum New Patient Price $58.04
Maximum New Patient Price $177.36

Average New Patient Copayment $33.57
Minimum New Patient Copayment $14.51
Maximum New Patient Copayment $44.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $72.38
Minimum Established Patient Price $18.32
Maximum Established Patient Price $143.49

Average Established Patient Copayment $18.09
Minimum Established Patient Copayment $4.58
Maximum Established Patient Copayment $35.87

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	8	0	1	4	7	9	6	9	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	8	0	1	8	7	18	6	18
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 8 + 7 + 1 + 8 + 6 + 1 + 8 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 6									6

The NPI number 1801479696 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 8 providers are registered at the same or nearby location.

MS. JEANNE MARIE GRAY CNP

Nurse Practitioner

(Obstetrics & Gynecology)