Individual provider Active NPI

Michael Patrick Moran, MD

  • Gastroenterology Physician
  • Easton, MD
National Provider Identifier
1063442515
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D36860 Issued in MD
Practice address
556 Cynwood Drive
Suite a
Easton, MD 21601-3886
Phone
(410) 221-1185
Fax
(410) 221-1187
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X D36860 MD Primary

Addresses

Primary practice location

556 Cynwood Drive
Suite a
Easton, MD 21601-3886

Mailing address

556 Cynwood Drive
Suite a
Easton, MD 21601-3886
Phone (410) 221-1185

Other identifiers 2

IdentifierTypeStateIssuer
6168MPOtherBCBS
072141700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20100311000889 MD Practitioner - GastroenterologyPractitioner - Internal Medicine 8224104229 Practice locations: Easton, MD

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

556 A Cynwood Dr
Easton, MD 21601-3886

556 Cynwood Dr
Suite a
Easton, MD 21601-3886
Phone (410) 221-1185

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
26.97 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
89.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy974
Upper gastrointestinal (GI) endoscopy for acid reflux557

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D36860MDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ese Anesthesia LLC PastSince Jun 1, 2013 Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1063442515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 CYNWOOD DRIVE",
            "address_2": "SUITE A",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013886",
            "telephone_number": "410-221-1185",
            "fax_number": "410-221-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 CYNWOOD DRIVE",
            "address_2": "SUITE A",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013886",
            "telephone_number": "410-221-1185",
            "fax_number": "410-221-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D36860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6168MP",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "072141700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.