Individual provider Active NPI

David J. Moeller, M.D.

  • Neuroradiology Physician
  • Houston, TX
National Provider Identifier
1104868009
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
F9838 Issued in TX
Practice address
7026 Old Katy Rd
Suite 276
Houston, TX 77024-2133
Phone
(713) 621-7436
Fax
(713) 963-9051
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X F9838 TX Primary

Addresses

Primary practice location

7026 Old Katy Rd
Suite 276
Houston, TX 77024-2133

Mailing address

7026 Old Katy Rd
Suite 276
Houston, TX 77024-2133
Phone (713) 621-7436

Other identifiers 2

IdentifierTypeStateIssuer
129258307MedicaidTX
129258306MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Radiology Associates PastSince Jun 11, 2023 Accepting new patients
Cat Scan Centre Past Accepting new patients
Woodstead MRI, Inc. Past Accepting new patients
Greater Houston Imaging, PA PastSince Jun 2, 2005 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Houston Northwest Radiology Assn PastSince Mar 13, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1104868009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7026 OLD KATY RD",
            "address_2": "SUITE 276",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242133",
            "telephone_number": "713-621-7436",
            "fax_number": "713-963-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7026 OLD KATY RD",
            "address_2": "SUITE 276",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242133",
            "telephone_number": "713-621-7436",
            "fax_number": "713-963-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "DAVID",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "F9838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129258307",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129258306",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.