Individual provider Active NPI

Lisa Moore, MD

  • Maternal & Fetal Medicine Physician
  • El Paso, TX
National Provider Identifier
1053328013
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
Q2026 Issued in TX
Practice address
4801 Alberta Ave
Department of Obstetrics and Gynecology
El Paso, TX 79905-2707
Phone
(915) 215-5099
Fax
(915) 545-6946
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2003-0491 NM
Maternal & Fetal Medicine Physician 207VM0101X Q2026 TX Primary

Addresses

Primary practice location

4801 Alberta Ave
Department of Obstetrics and Gynecology
El Paso, TX 79905-2707

Mailing address

4600A Montgomery Blvd NE
# 105
Albuquerque, NM 87109-1218
Phone (877) 978-2229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040124000410 NM Practitioner - Obstetrics/Gynecology 3072415413 Reassigns benefits to 1 organization
I20140805001937 TX Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 3072415413 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Duke University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Tech University Health Sciences Center OdessaGroup PAC ID 8426044256, 58 clinicians

Practice addresses (Care Compare)

701 W 5TH St
Odessa, TX 79763-4206
Phone (432) 335-2222

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso CurrentSince Oct 1, 2014 Accepting new patients
New Mexico Sonographics Inc Maternal & Fetal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Jul 14, 2014 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Oct 1, 2014 Accepting new patients
Texas Tech University Health Sciences Center Odessa Family Medicine CurrentSince Jan 23, 2023 Accepting new patients
Greenwood Leflore Hospital Past Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

320 Osuna Rd NE
Ste G4
Albuquerque, NM 87107
Phone (505) 875-1583

2700 Missouri Ave
Ste 2
Las Cruces, NM 88011
Phone (505) 875-1583

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

701 W 5th St
#3142
Odessa, TX 79763
Phone (432) 335-2222

701 W 5th St
Ste 2C30L
Odessa, TX 79763
Phone (432) 620-1041

701 W 5th St
Odessa, TX 79763
Phone (432) 335-2222

Organizations & group practices 7

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1053328013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600A MONTGOMERY BLVD NE",
            "address_2": "# 105",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091218",
            "telephone_number": "877-978-2229",
            "fax_number": "505-830-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 ALBERTA AVE",
            "address_2": "DEPARTMENT OF OBSTETRICS AND GYNECOLOGY",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052707",
            "telephone_number": "915-215-5099",
            "fax_number": "915-545-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "2003-0491",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "Q2026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.