Active NPI
Luis A Moral, MD
- Anatomic Pathology Physician
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 75419
- Practice address
- 759 Chestnut St
Springfield, MA 01199-1001 - Phone
- (413) 794-4500
- Fax
- (413) 794-3195
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 75419 | MA | Primary |
Addresses
Primary practice location
759 Chestnut St
Springfield, MA 01199-1001
Mailing address
280 Chestnut St
2ND Floor
Springfield, MA 01199-1000
Phone (413) 794-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3640 Main St
Suite 103
Springfield, MA 01107-1139
Phone (413) 785-5321
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75419 | MA | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Francis Care Medical Group, PC | Current | Accepting new patients | |
| Pioneer Valley Urology, PC | Current | Accepting new patients | |
| Urology Group of Western New England, P.C. | Anatomic Pathology | Current | Accepting new patients |
| Radiology & Imaging, Inc. | Past | Accepting new patients |
Locations
61 Locust St
Northampton, MA 01060
Phone (413) 584-2303
100 Wason Ave
Ste 120
Springfield, MA 01107
Phone (413) 241-2100
759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233
299 Carew St
Springfield, MA 01104
Phone (413) 748-9500
3640 Main St
Ste 103
Springfield, MA 01107
Phone (413) 785-5321
271 Carew St
Springfield, MA 01104
Phone (413) 748-9000
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60885
Organizations & group practices 4
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.
-
- Urology Physician
- Springfield, MA
- NPI 1730263039
Anatomic Pathology
-
- Urology Physician
- Springfield, MA
- NPI 1750315982
-
- Anatomic Pathology & Clinical Pathology Physician
- Hartford, CT
- NPI 1508172545
MA
-
- Diagnostic Radiology Physician
- Springfield, MA
- NPI 1790731008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300233600000",
"number": "1043311947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CHESTNUT ST",
"address_2": "2ND FLOOR",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011991000",
"telephone_number": "413-794-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "759 CHESTNUT ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011991001",
"telephone_number": "413-794-4500",
"fax_number": "413-794-3195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAL",
"first_name": "LUIS",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2011-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "MA",
"license": "75419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.