Active NPI
Doreen A Moser, D.O.
- Obstetrics & Gynecology Physician
- Grapevine, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- J5186
- Practice address
- 1643 Lancaster Dr Ste 204
Grapevine, TX 76051-3501 - Phone
- (817) 310-3775
- NPI assigned
- Jun 27, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | J5186 | TX | |
| Maternal & Fetal Medicine Physician | 207VM0101X | J5186 | TX | |
| Obstetrics Physician | 207VX0000X | J5186 | TX | |
| Obstetrics & Gynecology Physician | 207V00000X | J5186 | TX | Primary |
Addresses
Primary practice location
1643 Lancaster Dr Ste 204
Grapevine, TX 76051-3501
Mailing address
PO Box 200282
Dallas, TX 75320-0282
Phone (972) 616-4000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0083CX | Other | TX | BCBS |
| 096896801 | Medicaid | TX | |
| 096896804 | Medicaid | TX | |
| 8CK620 | Other | TX | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1600 W College
Suite 260
Grapevine, TX 76051-2101
1643 Lancaster Dr
Suite 204
Grapevine, TX 76051-3501
Phone (817) 310-3775
3500 Gaston Ave
Dallas, TX 75246-2017
Phone (972) 431-0716
Hospital & facility affiliations
- Baylor Scott & White Medical Center Grapevine
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J5186 | TX | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longview Wellness Center, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Longview Wellness Center Inc | Current | Accepting new patients | |
| OBGYN Hospitalists of North Texas PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Medical Clinic of North Texas PLLC | Current | Accepting new patients | |
| Longview Wellness Center Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Medical Clinic of North Texas, PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Obhg Texas Holdings, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Medical Clinic of North Texas, PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Longview Wellness Center Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| Cynthia Mace-Motta, DO PA | Gynecology | Past | Accepting new patients |
| Baylor Regional Medical Center at Grapevine | Past | Accepting new patients |
Locations
5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263
4224 Swiss Ave
#B
Dallas, TX 75204
Phone (972) 431-0716
3500 Gaston Ave
Dallas, TX 75246
6125 Luther Ln
Dallas, TX 75225
Phone (214) 612-6518
9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100
209 N Bonnie Brae St
Ste 304
Denton, TX 76201
Phone (940) 503-3601
10864 Texas Health Trl
Fort Worth, TX 76244
Phone (682) 212-2000
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000
6750 N MacArthur Blvd
Ste 309
Irving, TX 75039
Phone (972) 247-8757
1701 Pine Tree Rd
Longview, TX 75604
Phone (903) 295-5151
1107 E Marshall Ave
Longview, TX 75601
Phone (903) 212-4763
705 E Marshall Ave
Ste 3000
Longview, TX 75601
Phone (903) 212-4763
4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222
Interoperability endpoints
- dmoser166622@christushealth.direct-ci.net
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 12
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.
-
- Obstetrics & Gynecology Physician
- Dallas, TX
- NPI 1780578328
-
- Obstetrics & Gynecology Physician
- Grapevine, TX
- NPI 1295056711
-
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1942269493
Obstetrics & Gynecology
-
- Internal Medicine Physician
- Arlington, TX
- NPI 1033167234
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Austin, TX
- NPI 1083917769
-
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1255137659
Obstetrics & Gynecology
-
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1962911149
-
- Radiation Oncology Clinic/Center
- Arlington, TX
- NPI 1184131625
-
- Internal Medicine Physician
- Plano, TX
- NPI 1912955030
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Grapevine, TX
- NPI 1073511762
-
- Gynecology Physician
- Grapevine, TX
- NPI 1215478326
-
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1447910542
Obstetrics & Gynecology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grapevine, TX
- NPI 1073511762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1194721944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 200282",
"city": "DALLAS",
"state": "TX",
"postal_code": "753200282",
"telephone_number": "972-616-4000",
"fax_number": "972-294-3343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1643 LANCASTER DR STE 204",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513501",
"telephone_number": "817-310-3775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSER",
"first_name": "DOREEN",
"middle_name": "A",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-27",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "TX",
"license": "J5186",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "TX",
"license": "J5186",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "TX",
"license": "J5186",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "J5186",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0083CX",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "096896801",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "096896804",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8CK620",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.