Active NPI
Manuel V Moreno, MD
- Anesthesiology Physician
- Muncy, PA
National Provider Identifier
1023079506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD038231L
- Practice address
- 215 E Water St
Muncy, PA 17756-8828 - Phone
- (570) 546-4243
- NPI assigned
- Apr 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD038231L | PA | Primary |
Addresses
Primary practice location
215 E Water St
Muncy, PA 17756-8828
Mailing address
PO Box 56
Montoursville, PA 17754-0056
Phone (570) 323-8091
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010564680003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.06 of 100
- Quality
- 62.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD038231L | PA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1023079506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 56",
"city": "MONTOURSVILLE",
"state": "PA",
"postal_code": "177540056",
"telephone_number": "570-323-8091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E WATER ST",
"city": "MUNCY",
"state": "PA",
"postal_code": "177568828",
"telephone_number": "570-546-4243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "MANUEL",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-01",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD038231L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010564680003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muncy, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.