Active NPI
Alvaro Moreno II, MD
- Psychiatry Physician
- Coeur d'Alene, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- P7517
- Practice address
- 2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051 - Phone
- (208) 625-4000
- NPI assigned
- Aug 5, 2007
- Last updated
- Jul 28, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A147898 | CA | |
| Psychiatry Physician | 2084P0800X | M-16878 | ID | |
| Psychiatry Physician | 2084P0800X | P7517 | TX | Primary |
Addresses
Primary practice location
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Mailing address
1768 Business Center Dr Ste 100
Reston, VA 20190-5359
Phone (800) 762-9244
Other practice location 1
701 Lewiston St
Cottonwood, ID 83522-9750
Phone (208) 962-3251
Other practice location 2
301 Cedar St
Orofino, ID 83544-9029
Phone (208) 476-5777
Other practice location 3
1768 Business Center Dr Ste 100
Reston, VA 20190-5359
Phone (800) 762-9244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4666397245 | Other | MYUTMB 4666397245 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WA, VA, NC, CA, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Texas Medical Branch at Galveston, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (972) 449-0540
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A147898 | CA | MD | Psychiatry Physician |
| M-16878 | ID | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Regional Health Care System Inc | Current | Accepting new patients | |
| Texana Center | Current | Accepting new patients | |
| Helen Farabee Regional Centers | Past | Accepting new patients |
Locations
4910 Airport Ave
Ste D
Rosenberg, TX 77471
Phone (281) 239-1300
Interoperability endpoints
- amoreno21757@direct.svmh.com
- amoreno57751@unitedregional.medalliesdirect.net
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Rosenberg, TX
- NPI 1912954058
-
dba United Regional Heath Care System
- General Acute Care Hospital
- Wichita Falls, TX
- NPI 1023013448
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Wichita Falls, TX
- NPI 1033494273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1063603256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1768 BUSINESS CENTER DR STE 100",
"city": "RESTON",
"state": "VA",
"postal_code": "201905359",
"telephone_number": "800-762-9244",
"fax_number": "786-672-6006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 KOOTENAI HEALTH WAY",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838146051",
"telephone_number": "208-625-4000"
}
],
"practiceLocations": [
{
"address_1": "701 Lewiston St",
"address_purpose": "LOCATION",
"city": "Cottonwood",
"state": "ID",
"postal_code": "835229750",
"country_code": "US",
"telephone_number": "208-962-3251",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 Cedar St",
"address_purpose": "LOCATION",
"city": "Orofino",
"state": "ID",
"postal_code": "835449029",
"country_code": "US",
"telephone_number": "208-476-5777",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1768 Business Center Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Reston",
"state": "VA",
"postal_code": "201905359",
"country_code": "US",
"telephone_number": "800-762-9244",
"fax_number": "786-672-6006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORENO",
"first_name": "ALVARO",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-05",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A147898",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ID",
"license": "M-16878",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "P7517",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MYUTMB 4666397245",
"identifier": "4666397245",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coeur d'Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.