Individual provider Active NPI

Shamier E'Lan Moore, D.O.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1043657950
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q7241 Issued in TX
Practice address
909 Frostwood Dr Ste 1.100
Houston, TX 77024-2301
Phone
(713) 338-7124
NPI assigned
May 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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 Q7241 TX Primary

Addresses

Primary practice location

909 Frostwood Dr Ste 1.100
Houston, TX 77024-2301

Mailing address

909 Frostwood Dr Ste 1.100
Houston, TX 77024-2301
Phone (713) 338-7124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20181120001484 MS Practitioner - Family Practice 8527312016 Reassigns benefits to 1 organization
I20200114000196 TX Practitioner - Family PracticePractitioner - Hospitalist 8527312016 Reassigns benefits to 2 organizations
I20240406000639 VA Practitioner - Family Practice 8527312016 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q7241TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Health System CurrentSince Nov 6, 2018 Accepting new patients
Medexpress Urgent Care, PC - Virginia Family Medicine CurrentSince Feb 27, 2024 Accepting new patients
Singing River Health System CurrentSince Nov 6, 2018 Accepting new patients
Nluc PLLC Current Accepting new patients
Medexpress Urgent Care, PC - Virginia Family Medicine CurrentSince Feb 27, 2024 Accepting new patients
Nluc PLLC CurrentSince Jan 6, 2021 Accepting new patients
Next Level MV LLC CurrentSince Jan 6, 2021 Accepting new patients
Next Level MV LLC CurrentSince Jan 6, 2021 Accepting new patients
Medexpress Urgent Care, PC - Virginia Family Medicine Current Accepting new patients
Nluc PLLC CurrentSince Jan 6, 2021 Accepting new patients
Mochi Medical Ca PC Past Accepting new patients

Locations

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

1199 Ocean Springs Rd
Ocean Springs, MS 39564
Phone (228) 875-9363

3635 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-1951

2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000

7710 Garth Rd
Ste A
Baytown, TX 77521

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Interoperability endpoints

  • Direct secure messaging: smoore51595@direct.optum.com

Organizations & group practices 11

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": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1043657950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 FROSTWOOD DR STE 1.100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242301",
            "telephone_number": "713-338-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 FROSTWOOD DR STE 1.100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242301",
            "telephone_number": "713-338-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SHAMIER",
        "middle_name": "E'LAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q7241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.