Individual provider Active NPI

Luis A Moral, MD

  • Anatomic Pathology Physician
  • Springfield, MA
National Provider Identifier
1043311947
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
75419 Issued in MA
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

Updated by the provider on Mar 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050429000069 MA Practitioner - Pathology 6608815543 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Group of Western New England, P.C.Group PAC ID 9436120847, 12 clinicians

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

LicenseStateTypeSpecialty
75419MAMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Care Medical Group, PC CurrentSince Aug 1, 2021 Accepting new patients
Pioneer Valley Urology, PC CurrentSince May 1, 2009 Accepting new patients
Urology Group of Western New England, P.C. Anatomic Pathology CurrentSince Oct 2, 2023 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.