Keith A. Moss, M.D., Sc
Keith A. Moss, M.D., Sc is a healthcare organization registered as Internal Medicine Physician in Bourbonnais, IL, holding Type 2 (organization) NPI 1154520112 since 2007. The authorized official on file is Keith Moss, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1154520112 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Keith A. Moss, M.D., Sc |
| Practice address | 300 RIVERSIDE DR, SUITE 2400, Bourbonnais, IL, 60914 |
| Phone | 8159352784 |
| Fax | 8159355687 |
| Enumeration date | 2007-07-11 |
| Last updated in NPPES | 2008-05-28 |
Authorized official
| Name | Keith Moss |
|---|---|
| Title | President |
| Phone | 8159352784 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Primary | 036105851 | IL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036105851 | Medicaid | IL | — |
Copy-ready billing details
Provider: Keith A. Moss, M.D., Sc NPI: 1154520112 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 300 RIVERSIDE DR, SUITE 2400, Bourbonnais, IL, 60914
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1538267612 | Melissa Newell | Individual | Audiologist | Bourbonnais, IL |
| 1255426169 | Steven Williams | Individual | Plastic and Reconstructive Surgery Physician | Bourbonnais, IL |
Verify this record
Cross-check NPI 1154520112 against the authoritative CMS record: view Keith A. Moss, M.D., Sc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Keith A. Moss, M.D., Sc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-05-28.