Individual provider Active NPI

Raul Moas, M.D.

  • Pulmonary Disease Physician
  • Miami, FL
National Provider Identifier
1104812916
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME42676 Issued in FL
Practice address
3659 S Miami Ave
Suite 5004
Miami, FL 33133-4227
Phone
(305) 854-0616
Fax
(305) 854-4384
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME42676 FL Primary

Addresses

Primary practice location

3659 S Miami Ave
Suite 5004
Miami, FL 33133-4227

Mailing address

15680 N Kendall Dr
Suite 201
Miami, FL 33196-1159
Phone (305) 436-9933

Other identifiers 1

IdentifierTypeStateIssuer
041421200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RAUL.MOAS@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20041005000527 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4183683352

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Development Inc Pulmonary Disease Past Accepting new patients
Critical Care Medicine LLC Pulmonary Disease PastSince Aug 7, 2011 Accepting new patients
Head and Neck Treatment Center of Miami Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1104812916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15680 N KENDALL DR",
            "address_2": "SUITE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961159",
            "telephone_number": "305-436-9933",
            "fax_number": "305-436-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3659 S MIAMI AVE",
            "address_2": "SUITE 5004",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334227",
            "telephone_number": "305-854-0616",
            "fax_number": "305-854-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOAS",
        "first_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME42676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041421200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RAUL.MOAS@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3659 S Miami Ave",
            "address_2": "SUITE 5004",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331334227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.