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

Eduardo K Moioli

Individual provider Dermatology Physician · NPI 1154697274

Eduardo K Moioli is a Dermatology in Green Bay, Wisconsin. Qualified in 2012, 14 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
14
Licensed in
IL, WI
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone: (920) 288-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5841 S Maryland Ave, Chicago, IL 60637-1443 — (888) 824-0200

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 22686 (WI)
Dermatology Physician Taxonomy 207N00000X · Licence 036143292 (IL)

Record details

NPI number1154697274
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2012
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Green Bay