Individual provider Active NPI

Wilson R Moscoso-Donoso, MD

  • Family Medicine Physician
  • Cypress, TX
National Provider Identifier
1093762940
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J6057 Issued in TX
Practice address
27700 Northwest Fwy Ste 601
Cypress, TX 77433-7202
Phone
(346) 231-6850
Fax
(346) 231-6851
NPI assigned
May 27, 2006
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J6057 TX Primary
Hospitalist Physician 208M00000X J6057 TX

Addresses

Primary practice location

27700 Northwest Fwy Ste 601
Cypress, TX 77433-7202

Mailing address

920 Frostwood Dr Ste 2.300
Houston, TX 77024-2314
Phone (713) 338-5247

Other identifiers 2

IdentifierTypeStateIssuer
136904301MedicaidTX
136904309MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607000884 TX Practitioner - Family Practice 4385626894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Medical GroupGroup PAC ID 7012008360, 760 clinicians

Practice addresses (Care Compare)

13114 FM 1960 Rd W
Suite 120
Houston, TX 77065-4296
Phone (281) 890-6446

14023 Southwest Fwy
Sugar Land, TX 77478-3550
Phone (281) 325-4100

1801 N Loop W
Suite 30
Houston, TX 77008-1445
Phone (713) 802-9781

23910 Katy Fwy
Suite 200
Katy, TX 77494-1477
Phone (281) 500-6120

3501 W Holcombe Blvd
Houston, TX 77025-1313
Phone (713) 814-2680

3525 W Holcombe Blvd
Houston, TX 77025-1313

915 Gessner Rd
Suite 100
Houston, TX 77024-2537
Phone (713) 242-2222

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J6057TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group Family Medicine CurrentSince Feb 8, 2016 Accepting new patients
Memorial Hermann Health System Family Medicine Current Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

27700 NW Freeway
Ste 100
Cypress, TX 77433
Phone (346) 231-6850

27700 NW Freeway
Ste 601
Cypress, TX 77433
Phone (346) 231-6850

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

7737 Southwest Fwy
Ste 400
Houston, TX 77074
Phone (713) 456-5320

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

14023 Southwest Fwy
Ste A
Sugar Land, TX 77478
Phone (281) 325-4100

14023 Southwest Fwy
Ste B
Sugar Land, TX 77478
Phone (281) 325-4100

Interoperability endpoints

  • Direct secure messaging: wmoscosodonoso66380@memorialhermann.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1093762940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 FROSTWOOD DR STE 2.300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242314",
            "telephone_number": "713-338-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27700 NORTHWEST FWY STE 601",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774337202",
            "telephone_number": "346-231-6850",
            "fax_number": "346-231-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCOSO-DONOSO",
        "first_name": "WILSON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J6057",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "J6057",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136904301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136904309",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.