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

Gregg Moral, MD

Individual provider Diagnostic Radiology Physician · NPI 1871575407

Gregg Moral, MD is a Diagnostic Radiology in Mequon, Wisconsin. Graduated from Albany Medical College of Union University in 1986, 40 years ago. Practices with Premier Radiology Wisconsin LLC, a 111-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
40
Trained at
Albany Medical College of Union University
Licensed in
WI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10945 N Port Washington Rd Ste 201
Mequon, WI 53092-5078
Phone: (262) 292-3151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 28783 (WI)

Record details

NPI number1871575407
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 18, 2005
Last updated in NPPESNovember 17, 2023
Certification dateNovember 17, 2023
Mailing address10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 1986 (40 years in practice)
Group practice Premier Radiology Wisconsin Llc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations17 on file with Medicare

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