Individual provider Active NPI

Armando Moreno, M.D.

  • Emergency Medicine Physician
  • Wichita Falls, TX
National Provider Identifier
1083672885
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
J7593 Issued in TX
Practice address
1600 11TH St
Wichita Falls, TX 76301-4300
Phone
(940) 764-7000
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 21779 AZ
Emergency Medicine Physician 207P00000X J7593 TX Primary

Addresses

Primary practice location

1600 11TH St
Wichita Falls, TX 76301-4300

Mailing address

PO Box 3407
Wichita Falls, TX 76301-0407
Phone (940) 763-1200

Other identifiers 3

IdentifierTypeStateIssuer
135021709MedicaidTX
930123194OtherTXMEDICARE RR PALMETTO
8G9189OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 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
I20100713000164 TX Practitioner - Emergency Medicine 6901881010 Reassigns benefits to 4 organizations
I20151009002216 AZ Practitioner - Emergency Medicine 6901881010 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21779AZMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Health Care System Inc Current Accepting new patients
McAdams Emergency Medicine Associates, PA Emergency Medicine CurrentSince Nov 18, 2019 Accepting new patients
McAllen Emergency Medicine Associates PA Emergency Medicine CurrentSince Apr 21, 2015 Accepting new patients
Webb Emergency Medicine Associates PA Emergency Medicine CurrentSince Nov 22, 2014 Accepting new patients
Titanium Emergency Group LLP Emergency Medicine CurrentSince Jan 1, 2003 Accepting new patients
Cep America-Arizona LLP Emergency Medicine CurrentSince Oct 10, 2024 Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. Emergency Medicine CurrentSince Jan 1, 2017 Accepting new patients
Green Valley Emergency Physicians, LLC Emergency Medicine CurrentSince Dec 1, 2021 Accepting new patients

Locations

4455 S I 19 Frontage Rd
Green Valley, AZ 85614
Phone (520) 393-4700

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

7401 S Wilmot Rd
Tucson, AZ 85756
Phone (520) 493-0499

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190

1300 E Saunders St
Laredo, TX 78041
Phone (956) 815-4470

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

1900 S D St
McAllen, TX 78503
Phone (956) 994-2000

1600 8th St
Wichita Falls, TX 76301
Phone (940) 723-1461

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: amoreno14339@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 8

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1083672885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3407",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763010407",
            "telephone_number": "940-763-1200",
            "fax_number": "940-763-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 11TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014300",
            "telephone_number": "940-764-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "ARMANDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "21779",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J7593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135021709",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR PALMETTO",
            "identifier": "930123194",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8G9189",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.