Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Jeffrey Moss, DPM

Individual provider Podiatrist · NPI 1508870361

Dr. Mark Jeffrey Moss, DPM is a Podiatry in Livonia, Michigan. Graduated from Kent State University College of Podiatric Medicine in 1974, 52 years ago. Accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
52
Trained at
Kent State University College of Podiatric Medicine
Licensed in
MI
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

29701 6 Mile Rd #100A
Livonia, MI 48152-8600
Phone: (734) 261-3808
Fax: (734) 261-3821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 5901000715 (MI)

Record details

NPI number1508870361
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESNovember 21, 2013
Mailing address29701 6 Mile Rd, 100a, Livonia, MI 48152-8600

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 1974 (52 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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