Active NPI
Luis Moncada
- Physician Assistant
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA15818
- Practice address
- 1150 N Loop 1604 W Ste 150
San Antonio, TX 78248-4505 - Phone
- (281) 783-8162
- NPI assigned
- Aug 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | PA15818 | TX | Primary |
Addresses
Primary practice location
1150 N Loop 1604 W Ste 150
San Antonio, TX 78248-4505
Mailing address
5718 Westheimer Rd Ste 400
Houston, TX 77057-5733
Phone (281) 783-8162
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1150 N Loop 1604
Suite 150
San Antonio, TX 78248-4505
Phone (281) 783-8162
1246 N FM 3083 Rd W
Suite B
Conroe, TX 77304-5340
Phone (281) 783-8162
16312 Southwest Fwy
Sugar Land, TX 77479-2371
Phone (281) 783-8162
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA15818 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nluc PLLC | Current | Accepting new patients |
Locations
1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304
1150 N Loop 1604 W
Ste 150
San Antonio, TX 78248
5211 FM 2920 Rd
Ste 101
Spring, TX 77388
16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Houston, TX
- NPI 1518209113
-
- Urgent Care Clinic/Center
- League City, TX
- NPI 1043814049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1104436617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5718 WESTHEIMER RD STE 400",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770575733",
"telephone_number": "281-783-8162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 N LOOP 1604 W STE 150",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782484505",
"telephone_number": "281-783-8162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONCADA",
"first_name": "LUIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-10",
"last_updated": "2023-03-10",
"certification_date": "2022-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA15818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Monarch Behavioral Health, PLLC
- Julian Aaron Monarez, CPHT, CSPDT
- Alfonso Monarres, DDS MS
- Anjelica Allegra Moncada-Gonzales, CPNP-AC
- Lauro Ruben Moncada
- Evangelina Moncayo, OTR/CCC-SLP
- Norma Montserrat Moncayo, MD
- Michael Monceaux, DNP, APRN, PMHNP-BC
- Jacqueline Amanda Moncivais, PSYD
- Samantha Alexandra Moncivais
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.