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

Tim Daniel Moeller, PA-C

Individual provider Dermatology Physician · NPI 1669119301

Tim Daniel Moeller, PA-C is a Physician Assistant in Hinsdale, Illinois. Qualified in 2022, 4 years ago. Practices with Dupage Medical Group Ltd, a 1,328-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

40 S Clay St
Hinsdale, IL 60521-3257
Phone: (630) 286-5050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1801 S Highland Ave, Lombard, IL 60148-4932 — (630) 286-5050

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085-008949 (IL)
Dermatology Physician Taxonomy 207N00000X · Licence 085.008949 (IL)

Record details

NPI number1669119301
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 15, 2022
Last updated in NPPESJuly 24, 2023
Certification dateJuly 24, 2023
Mailing address1860 Paysphere Cir, Chicago, IL 60674-0018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Dupage Medical Group Ltd — 1328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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