Individual provider Active NPI

Leonel G Moreno, M.D.

  • Family Medicine Physician
  • McAllen, TX
National Provider Identifier
1013077213
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J9224 Issued in TX
Practice address
606 S Broadway Avenue
McAllen, TX 78501-4906
Phone
(956) 682-4515
Fax
(956) 662-7628
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J9224 TX Primary

Addresses

Primary practice location

606 S Broadway Avenue
McAllen, TX 78501-4906

Mailing address

606 S Broadway Avenue
McAllen, TX 78501-4906
Phone (956) 682-4515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100317000095 TX Practitioner - Family Practice 0749315794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Physicians Clinic LLPGroup PAC ID 2264455468, 3 clinicians
Valley Night Clinic LLPGroup PAC ID 6800819079, 3 clinicians

Practice addresses (Care Compare)

606 S Broadway St
McAllen, TX 78501-4906
Phone (956) 682-4515

Hospital & facility affiliations

  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869
  • Rio Grande Regional Hospital Hospital, McAllen, TX, CCN 450711

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Family Physicians Clinic LLP Family Medicine CurrentSince Aug 15, 1995 Accepting new patients

Locations

606 S Broadway St
McAllen, TX 78501
Phone (956) 682-4515

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1013077213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 S BROADWAY AVENUE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785014906",
            "telephone_number": "956-682-4515",
            "fax_number": "956-622-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 S BROADWAY AVENUE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785014906",
            "telephone_number": "956-682-4515",
            "fax_number": "956-662-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "LEONEL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J9224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.