DANIEL MOUSSA
NPI 1801479696
Obstetrics & Gynecology in Southgate, MI

Active since April 30, 2021PECOS EnrolledAccepts Medicare Assignment
15675 NORTHLINE RD, SOUTHGATE, MI 48195(734) 282-3600(734) 282-3603 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 2, 2025, Apr 30, 2021 (2 updates tracked since 2021).

About Daniel Moussa NPPES

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

DANIEL MOUSSA (NPI 1801479696) is an individual obstetrics & gynecology provider in Southgate, Michigan, licensed in Michigan (4301513702) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Wyandotte Hospital, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1801479696
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDANIEL MOUSSA
Location Address15675 NORTHLINE RDSouthgate, MI 48195-2334
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806
Fax(734) 282-3603
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 30, 2021
Last NPPES UpdateJune 2, 20252 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
NPI 1801479696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MI · 4301513702
Definition

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.

15675 NORTHLINE RD, Southgate, MI 48195

Secondary Practice Location 1

Location 14201 Saint Antoine St # 9CDetroit, MI 48201-2153 · Phone (313) 745-3000

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Daniel Moussa 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 ID7719381714
PECOS Enrollment IDI20250702004003
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Health Wyandotte Hospital

Acute Care Hospitals · Wyandotte, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230146
Location2333 Biddle AveWyandotte, MI 48192 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48195 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

Obstetrics & Gynecology
15675 NORTHLINE RD
SOUTHGATE, MI 48195
Nurse Practitioner (Women's Health)
15675 NORTHLINE RD
SOUTHGATE, MI 48195
Obstetrics & Gynecology
15675 NORTHLINE RD
SOUTHGATE, MI 48195
Nurse Practitioner (Obstetrics & Gynecology)
15675 NORTHLINE RD
SOUTHGATE, MI 48195
Nurse Practitioner
15675 NORTHLINE RD
SOUTHGATE, MI 48195
Obstetrics & Gynecology
15675 NORTHLINE RD
SOUTHGATE, MI 48195
Obstetrics & Gynecology
15675 NORTHLINE RD
SOUTHGATE, MI 48195
Obstetrics & Gynecology
15675 NORTHLINE RD
SOUTHGATE, MI 48195

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 Daniel Moussa's NPI number?

The NPI number for Daniel Moussa is 1801479696. It was assigned to this individual provider in the NPPES registry on April 30, 2021.

Where is Daniel Moussa located?

Daniel Moussa practices at 15675 Northline Rd, Southgate, MI 48195. The listed phone number is (734) 282-3600.

What is Daniel Moussa's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Daniel Moussa enrolled in Medicare?

Yes. Daniel Moussa 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.

What insurance does Daniel Moussa accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Daniel Moussa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Daniel Moussa affiliated with any hospitals?

According to CMS data, Daniel Moussa is affiliated with Henry Ford Health Wyandotte Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Moussa was last updated on June 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.