Active NPI
Manoel Moraes Jr., MD
- Medical Oncology Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- ME105427
- Practice address
- 8925 Colonial Center Dr Ste 2001
Fort Myers, FL 33905-7813 - Phone
- (239) 343-9567
- Fax
- (239) 343-9571
- NPI assigned
- Mar 14, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 0101238947 | VA | |
| Medical Oncology Physician | 207RX0202X | ME105427 | FL | Primary |
Addresses
Primary practice location
8925 Colonial Center Dr Ste 2001
Fort Myers, FL 33905-7813
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-9567
Other practice location 1
44055 Riverside Pkwy Ste 224
Lansdowne, VA 20176-5177
Phone (703) 858-3110
Other practice location 2
516 S Van Buren Rd
Eden, NC 27288-5019
Phone (336) 623-6862
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111315500 | Medicaid | FL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmoraes271921@Direct.leememorial.org | Direct | Lee Memorial Health System |
| Direct Messaging Address | mmoraes268046@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
516 S Van Buren Rd
Eden, NC 27288-5019
Phone (336) 623-6862
Hospital & facility affiliations
- Unc Hospitals
- Unc Rockingham
- Moses H. Cone Memorial Hospital, the
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14693 | AL | MD | Pharmacist |
| ME105427 | FL | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients | |
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700
8925 Colonial Center Dr
Ste 2001
Fort Myers, FL 33905
Phone (239) 343-9567
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123
516 S Van Buren Rd
Eden, NC 27288
Phone (336) 623-6862
5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110
Interoperability endpoints
- mmoraes268046@direct.unc.nchie.net
- mmoraes271921@direct.leememorial.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Pittsboro, NC
- NPI 1750704367
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1992873319
-
- Federally Qualified Health Center (FQHC)
- Port Charlotte, FL
- NPI 1255171765
-
- General Practice Physician
- Morrisville, NC
- NPI 1558786830
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
-
- General Acute Care Hospital
- Eden, NC
- NPI 1326048810
-
- General Acute Care Hospital
- Chapel Hill, NC
- NPI 1932208576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1114996170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-343-9567",
"fax_number": "239-343-9571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8925 COLONIAL CENTER DR STE 2001",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339057813",
"telephone_number": "239-343-9567",
"fax_number": "239-343-9571"
}
],
"practiceLocations": [
{
"address_1": "44055 Riverside Pkwy Ste 224",
"address_purpose": "LOCATION",
"city": "Lansdowne",
"state": "VA",
"postal_code": "201765177",
"country_code": "US",
"telephone_number": "703-858-3110",
"fax_number": "703-858-3111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "516 S Van Buren Rd",
"address_purpose": "LOCATION",
"city": "Eden",
"state": "NC",
"postal_code": "272885019",
"country_code": "US",
"telephone_number": "336-623-6862",
"fax_number": "336-623-1031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORAES",
"first_name": "MANOEL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "VA",
"license": "0101238947",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "FL",
"license": "ME105427",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111315500",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmoraes271921@Direct.leememorial.org",
"affiliation": "Y",
"affiliationName": "Lee Memorial Health System",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2776 Cleveland Ave",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339015864",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmoraes268046@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "516 S Van Buren Rd",
"city": "Eden",
"state": "NC",
"country_code": "US",
"postal_code": "272885019",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.