Active NPI
Roberto Antonio Moran-Bojorquez, M.D.
- Emergency Medicine Physician
- Joplin, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2009016964
- Practice address
- 100 Mercy Way
Joplin, MO 64804-4524 - Phone
- (417) 556-2300
- Fax
- (417) 556-3625
- NPI assigned
- May 13, 2008
- Last updated
- Sep 20, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2009016964 | MO | Primary |
| Hospitalist Physician | 208M00000X | 2009016964 | MO |
Addresses
Primary practice location
100 Mercy Way
Joplin, MO 64804-4524
Mailing address
100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 556-2300
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200258970A | Medicaid | OK | |
| 180149001 | Medicaid | AR | |
| 200616820B | Medicaid | KS | |
| P00800421 | Other | MO | RAIL ROAD MEDICARE |
| 1063689651 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Howard University College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cedar County Memorial HospitalSalem Memorial Hospital
Practice addresses (Care Compare)
1401 S Park St
El Dorado, MO 64744-2037
Phone (417) 876-2511
35629 Hwy 72
Salem, MO 65560-7217
Phone (573) 729-6626
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009016964 | MO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Carthage | Emergency Medicine | Current | Accepting new patients |
| Salem Memorial Hospital | Current | Accepting new patients | |
| Labette County Medical Center | Current | Accepting new patients | |
| Mercy Clinic Joplin LLC | Current | Accepting new patients | |
| Cedar County Memorial Hospital | Current | Accepting new patients | |
| Labette County Medical Center | Current | Accepting new patients | |
| Mercy Clinic Joplin LLC | Emergency Medicine | Current | Accepting new patients |
| Cedar County Memorial Hospital | Emergency Medicine | Current | Accepting new patients |
| Salem Memorial Hospital | Current | Accepting new patients | |
| Cedar County Memorial Hospital | Current | Accepting new patients | |
| Labette County Medical Center | Current | Accepting new patients | |
| Sjmgroup | Past | Accepting new patients | |
| Cedar County Memorial Hospital | Past | Accepting new patients |
Locations
1902 S US Highway 59
Parsons, KS 67357
Phone (620) 421-4880
1902 S US Highway 59
Bldg A
Parsons, KS 67357
Phone (620) 421-2460
3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121
94 Main St
Cassville, MO 65625
Phone (417) 782-7722
1317 S State Highway 32
El Dorado Springs, MO 64744
Phone (417) 876-3333
1401 S Park St
El Dorado Springs, MO 64744
Phone (417) 876-2511
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
3126 S Jackson Ave
Joplin, MO 64804
Phone (417) 782-1600
35629 Highway 72
Salem, MO 65560
Phone (573) 729-8000
35629 Highway 72
Bldg 3
Salem, MO 65560
Phone (573) 729-8000
Interoperability endpoints
- roberto.moran-bojorquez@directsbamh.org
Organizations & group practices 13
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.
-
- Critical Access Hospital
- El Dorado Springs, MO
- NPI 1619090404
Emergency Medicine
-
- Critical Access Hospital
- El Dorado Springs, MO
- NPI 1720039605
-
- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
-
dba SMDH Family Medicine
- Primary Care Clinic/Center
- Salem, MO
- NPI 1114177557
-
- Critical Access Hospital
- Salem, MO
- NPI 1639177561
-
dba LCMC ER Physician Group
- Family Medicine Physician
- Parsons, KS
- NPI 1336133362
-
dba Cedar County Family Clinic
- Clinic/Center
- Stockton, MO
- NPI 1275656068
-
- Emergency Medicine Physician
- Carthage, MO
- NPI 1477822567
-
dba Labette Health Pittsburg Clinic
- Rural Health Clinic/Center
- Pittsburg, KS
- NPI 1205524113
-
dba Specialty Group of Labette Health
- Anesthesiology Physician
- Parsons, KS
- NPI 1811981293
-
- Medicare Defined Swing Bed Hospital Unit
- El Dorado Springs, MO
- NPI 1457474249
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- El Dorado Springs, MO
- NPI 1720039605
-
- Medicare Defined Swing Bed Hospital Unit
- Salem, MO
- NPI 1134199417
-
- Critical Access Hospital
- Salem, MO
- NPI 1639177561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1063689651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MERCY WAY",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648044524",
"telephone_number": "417-556-2300",
"fax_number": "417-556-3625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MERCY WAY",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648044524",
"telephone_number": "417-556-2300",
"fax_number": "417-556-3625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN-BOJORQUEZ",
"first_name": "ROBERTO",
"middle_name": "ANTONIO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-13",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2009016964",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MO",
"license": "2009016964",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200258970A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "180149001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200616820B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00800421",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063689651",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.