Individual provider Active NPI

Doreen A Moser, D.O.

  • Obstetrics & Gynecology Physician
  • Grapevine, TX
National Provider Identifier
1194721944
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J5186 Issued in TX
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

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0083CXOtherTXBCBS
096896801MedicaidTX
096896804MedicaidTX
8CK620OtherTXBCBS

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
I20061113000534 TX Practitioner - Obstetrics/Gynecology 3274531918 Reassigns benefits to 5 organizations

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
OBGYN Hospitalists of North Texas PLLCGroup PAC ID 5092215780, 14 clinicians

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 Hospital, Grapevine, TX, CCN 450563

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J5186TXMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Longview Wellness Center, Inc Obstetrics & Gynecology Current Accepting new patients
Longview Wellness Center Inc CurrentSince May 18, 2021 Accepting new patients
OBGYN Hospitalists of North Texas PLLC Obstetrics & Gynecology CurrentSince Jul 13, 2025 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Oct 7, 2021 Accepting new patients
Longview Wellness Center Inc Obstetrics & Gynecology CurrentSince May 18, 2021 Accepting new patients
Medical Clinic of North Texas, PLLC Obstetrics & Gynecology CurrentSince Oct 7, 2021 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Aug 24, 2018 Accepting new patients
Medical Clinic of North Texas, PLLC Obstetrics & Gynecology Current Accepting new patients
Longview Wellness Center Inc Obstetrics & Gynecology PastSince Jan 2, 2022 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

  • Direct secure messaging: dmoser166622@christushealth.direct-ci.net
  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.