Philip Alan Moore, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

F1835 Issued in TX

Practice address

1600 Lancaster Dr
Suite 103
Grapevine, TX 76051-3579

Phone

(817) 488-5170

Fax

(817) 488-6270

NPI assigned

Jul 11, 2006

Last updated

May 13, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

General Surgery

Education

University of Texas Southwestern Medical School at Dallas, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Vein Restoration TX2 LLCGroup PAC ID 2668973678, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: philip.mooremd.p3@direct.cvr.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Vein Restoration TX2 LLC

  • Surgery Physician
  • Fort Worth, TX
  • NPI 1295625754
  Medicare reassignment Care Compare group NPD
• Center for Vein Restoration TX LLC

  • Cardiovascular Disease Physician
  • Austin, TX
  • NPI 1346712650
  Medicare reassignment NPD
• Philip a. Moore, M.D., P.a.

  • Surgery Physician
  • Grapevine, TX
  • NPI 1730478744
  NPD (past) Authorized official
• Center for Vein Restoration TX LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Houston, TX
  • NPI 1952262909
  NPD
• Center for Vein Restoration TX2 LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Fort Worth, TX
  • NPI 1760343719
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1053346817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 LANCASTER DR",
            "address_2": "SUITE 103",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 LANCASTER DR",
            "address_2": "SUITE 103",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513579",
            "telephone_number": "817-488-5170",
            "fax_number": "817-488-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "PHILIP",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "F1835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moon Pediatric Therapy & Consulting
• Meredith Michelle Moon, OTR/L
• Elizabeth Moore
• Madeline Moore, PAC
• Natalie Marie Moore, D.C.
• Ian W Mora, PT
• Mariana Morales-Najera, PT, DPT
• More to Say Speech Therapy PLLC
• Jennifer Moreland, PT, OCS
• Virginia Morgan, FNP

• Surgery Physician in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.

Verify at the official NPI Registry.