Active NPI
Fanny E Moron, M.D.
- Diagnostic Radiology Physician
- Pasadena, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 40568
- Practice address
- 4600 E Sam Houston Pkwy S
Pasadena, TX 77505-3948 - Phone
- (713) 481-3533
- Fax
- (713) 432-0221
- NPI assigned
- Jun 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 40568 | TX | Primary |
Addresses
Primary practice location
4600 E Sam Houston Pkwy S
Pasadena, TX 77505-3948
Mailing address
PO Box 3119
Houston, TX 77253-3119
Phone (713) 481-3533
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8AM788 | Other | TX | BCBS |
| 172439505 | Medicaid | TX | |
| 172439504 | Medicaid | TX | |
| 172439501 | Medicaid | TX | |
| 172439503 | Medicaid | TX |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 7TH St
Bay City, TX 77414-4853
Phone (281) 870-4592
1502 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-4900
1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-2000
1977 Butler Blvd
Houston, TX 77030-4101
1977 Butler Boulevard
Houston, TX 77030-4101
1977 Butler Boulevard 6TH Floor
200 BCM Physicians
Houston, TX 77030-4101
Phone (713) 798-6131
2457 S Braeswood Blvd
Houston, TX 77030-4305
Phone 71379817502
2525 A Holly Hall St
Houston, TX 77054-4124
Phone (713) 526-4243
7200 Cambridge St
Houston, TX 77030-4202
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40568 | TX | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Diagnostic Radiology | Current | Accepting new patients |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Past | Accepting new patients | |
| Cardiovascular Care Providers, Inc. | Past | Accepting new patients |
Locations
104 7th St
Bay City, TX 77414
Phone (979) 241-5521
1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845
2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835
6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092
1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860
6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092
6620 Main St
Ste 1275
Houston, TX 77030
Phone (713) 798-2300
1504 Taub Loop
#621
Houston, TX 77030
7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924
2457 S Braeswood Blvd
Houston, TX 77030
Phone (713) 520-8860
2525 Holly Hall St
#A
Houston, TX 77054
Phone (713) 526-4243
4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Houston, TX
- NPI 1053352914
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
-
- Orthopaedic Surgery Physician
- Sugar Land, TX
- NPI 1700683844
-
- Neurological Surgery Physician
- Houston, TX
- NPI 1730132721
-
- Specialist
- Houston, TX
- NPI 1437242617
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1184622847
-
- General Acute Care Hospital
- Houston, TX
- NPI 1205900370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259712000000",
"number": "1093759193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3119",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772533119",
"telephone_number": "713-481-3533",
"fax_number": "713-432-0221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 E SAM HOUSTON PKWY S",
"city": "PASADENA",
"state": "TX",
"postal_code": "775053948",
"telephone_number": "713-481-3533",
"fax_number": "713-432-0221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORON",
"first_name": "FANNY",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2009-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "40568",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8AM788",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172439505",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172439504",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172439501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172439503",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.