Individual provider Active NPI

Rebecca F Moran, MD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1104888676
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27149 Issued in AZ
Practice address
4530 E Ray Rd
Suite 150
Phoenix, AZ 85044-6094
Phone
(480) 785-4775
Fax
(480) 785-0908
NPI assigned
Apr 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27149 AZ Primary

Addresses

Primary practice location

4530 E Ray Rd
Suite 150
Phoenix, AZ 85044-6094

Mailing address

4530 E Ray Rd
Suite 150
Phoenix, AZ 85044-6094
Phone (480) 785-4775

Other identifiers 1

IdentifierTypeStateIssuer
452251MedicaidAZ

Other names 1

  • Rebecca Feldstein Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040223000254 AZ Practitioner - Family Practice 3375439995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Perelman School of Med at the University of Pennsylvania, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Circle the CityGroup PAC ID 3971824442, 63 clinicians

Practice addresses (Care Compare)

210 S 12TH Ave
Phoenix, AZ 85007-3101
Phone (602) 254-4282

220 S 12TH Ave
Phoenix, AZ 85007-3101
Phone (602) 258-8282

3522 N 3Rd Ave
Phoenix, AZ 85013-3903
Phone (602) 776-9000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27149AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Circle the City CurrentSince Aug 9, 2023 Accepting new patients
Circle the City Family Medicine CurrentSince Aug 9, 2023 Accepting new patients
Foothills Family Care PLC Family Medicine PastSince Jun 1, 2009 Accepting new patients
Circle the City Past Accepting new patients
Kachina Family Practice PA Family Medicine Past Accepting new patients
RHG of Arizona, PC Family Medicine PastSince Dec 23, 2024 Accepting new patients
Endocrinology Associates P a DTD Past Accepting new patients

Locations

300 W Clarendon Ave
Ste 200
Phoenix, AZ 85013
Phone (602) 776-0776

220 S 12th Ave
Phoenix, AZ 85007
Phone (602) 372-2100

3522 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 776-7676

Interoperability endpoints

  • Direct secure messaging: rebecca.moran.1@11818.direct.athenahealth.com

Organizations & group practices 7

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1104888676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 E RAY RD",
            "address_2": "SUITE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446094",
            "telephone_number": "480-785-4775",
            "fax_number": "480-785-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 E RAY RD",
            "address_2": "SUITE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446094",
            "telephone_number": "480-785-4775",
            "fax_number": "480-785-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "REBECCA",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "27149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "452251",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "FELDSTEIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.