Individual provider Active NPI

Mary Margaret Moore, M.D.

  • Dermatology Physician
  • Missouri City, TX
National Provider Identifier
1134314263
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
N6932 Issued in TX
Practice address
7435 Highway 6 Ste B
Missouri City, TX 77459-4698
Phone
(832) 342-9700
NPI assigned
Sep 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X N6932 TX Primary

Addresses

Primary practice location

7435 Highway 6 Ste B
Missouri City, TX 77459-4698

Mailing address

7435 Highway 6 Ste B
Missouri City, TX 77459-4698
Phone (832) 342-9700

Other practice location 1

17510 W Grand Pkwy S Ste 385
Sugar Land, TX 77479-2649
Phone (832) 342-9700

Other names 1

  • Mary Margaret Borer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110803000247 TX Practitioner - Dermatology 5799954020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Georgia School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sienna Dermatology, PLLCGroup PAC ID 0941576904, 2 clinicians

Practice addresses (Care Compare)

7435 Hwy 6
Suite B
Missouri City, TX 77459-4698
Phone (832) 342-9700

Merit-based Incentive Payment System (MIPS)

Final score
99.1 of 100Reported as individual
Quality
100
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions774
Skin biopsy173

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sienna Dermatology, PLLC Dermatology CurrentSince Nov 1, 2017 Accepting new patients

Locations

7435 Highway 6
Ste B
Missouri City, TX 77459
Phone (832) 342-9700

17510 W Grand Pkwy S
Ste 385
Sugar Land, TX 77479
Phone (832) 342-9700

25511 Budde Rd
Ste 2502
The Woodlands, TX 77380

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.

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1134314263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7435 HIGHWAY 6 STE B",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594698",
            "telephone_number": "832-342-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7435 HIGHWAY 6 STE B",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594698",
            "telephone_number": "832-342-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17510 W Grand Pkwy S Ste 385",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774792649",
            "country_code": "US",
            "telephone_number": "832-342-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "N6932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BORER",
            "middle_name": "MARGARET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.