Active NPI
Paul B. Moore, MD
- Endocrinology, Diabetes & Metabolism Physician
- Austin, TX
National Provider Identifier
1114986999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- E4542
- Practice address
- 12221 N Mopac Expy
Austin, TX 78758-2401 - Phone
- (512) 901-4005
- Fax
- (512) 901-3905
- NPI assigned
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | E4542 | TX | Primary |
Addresses
Primary practice location
12221 N Mopac Expy
Austin, TX 78758-2401
Mailing address
12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-4005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123751303 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | PAUL.MOORE@hca8.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.41 of 100
- Quality
- 64.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Diagnostic Clinic, PA | Past | Accepting new patients |
Interoperability endpoints
- paul.moore.1@12704.direct.athenahealth.com
- 11217-moore-paul@direct.leadingreach.com
- paul.moore@hca8.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Ambulatory Surgical Clinic/Center
- Austin, TX
- NPI 1619923950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1114986999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12221 N MOPAC EXPY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787582401",
"telephone_number": "512-901-4005",
"fax_number": "512-901-3905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12221 N MOPAC EXPY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787582401",
"telephone_number": "512-901-4005",
"fax_number": "512-901-3905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "PAUL",
"middle_name": "B.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "TX",
"license": "E4542",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123751303",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "PAUL.MOORE@hca8.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "12221 N Mopac Expy",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "787582401",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.