Keith Moss, MD
Internal Medicine Physician · Bourbonnais, IL
Keith Moss, MD is an internal medicine physician with a practice address in Bourbonnais, Illinois, and NPI 1588601819, issued on Jun 2, 2006. Check the license (Illinois 036105851, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Keith Moss
- Credential
- MD
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- 036105851 IL
Self-reported in NPPES; status is on the state search - Practice location
- 400 Riverside Dr Ste 2100, Bourbonnais, IL 60914
- Phone
- (815) 935-2784
- Enumerated
- Jun 2, 2006
- Entity
- Type 1 · individual
Also registered at 400 Riverside Dr Ste 2100
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Nadeem Ansari, MDInternal Medicine Physician1073651808
- Tara Campo, NP-CFamily Nurse Practitioner1144737123
- Rick Carlson, FNP-BCFamily Nurse Practitioner1821337437
- Elizabeth Deck, FNP-BCFamily Nurse Practitioner1396715546
- Jason Serpe, DPMFoot & Ankle Surgery Podiatrist1578660593
- Miranda Sirvinskas, NPNurse Practitioner1083336861
Verify Keith Moss in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036105851Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
Industry payments in 2024: $23.70
1 payment, mostly food and beverage; the largest payer was Novartis Pharmaceuticals Corporation. The 65,274 providers of this specialty with any payment received $2,536.66 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
11 internal medicine physician records list a Bourbonnais practice address
They are 11 of the 547 NPPES records with a Bourbonnais practice address, and 8,522 internal medicine physician records in Illinois.
All 11 in Bourbonnais → All 8,522 in Illinois → Every provider in Bourbonnais →
Other internal medicine physician records in Illinois
- Peter Abadeer, D.O.Bloomington, IL1760469522
- Pamela Abadi, D.O.Winfield, IL1588820179
- Motaz Abas, MDPeoria, IL1215510201
- Elias Abate, M.D.Chicago, IL1336712199
- Maliha Abbas, D.O.Chicago, IL1174963920
- Zareena Abbas, MDChicago, IL1427078872
- Abu Abbasi, MDChicago, IL1083243877
- Ayesha Abbasi, MDChicago, IL1376216705
- Khalda Abbasi, MDNaperville, IL1487705240
- Misha Abbasi, MDChicago, IL1770111635
Common questions
What is Keith Moss, MD's NPI number?
Keith Moss, MD's National Provider Identifier (NPI) is 1588601819, issued on Jun 2, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Keith Moss, MD located?
The NPPES record lists a practice address at 400 Riverside Dr Ste 2100, Bourbonnais, IL, 60914. Phone: (815) 935-2784. Providers update this record themselves, so call before visiting.
How can I verify Keith Moss, MD's license?
NPPES lists Illinois license number 036105851, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.