Active NPI
David Moreno, M.D
- Internal Medicine Physician
- Brooksville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME83919
- Practice address
- 12142 Cortez Blvd
Brooksville, FL 34613-5575 - Phone
- (352) 596-9095
- Fax
- (352) 578-1032
- NPI assigned
- Aug 2, 2006
- Last updated
- Apr 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME83919 | FL | Primary |
Addresses
Primary practice location
12142 Cortez Blvd
Brooksville, FL 34613-5575
Mailing address
12142 Cortez Blvd
Brooksville, FL 34613-5575
Phone (352) 596-9095
Other practice location 1
12148 Cortez Blvd
Brooksville, FL 34613-5575
Phone (352) 596-9095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Internal Medicine
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12142 Cortez Blvd
Brooksville, FL 34613-5575
Phone (352) 596-9095
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Age Medical Center | Internal Medicine | Current | Accepting new patients |
| HC Medical Group, Inc | Current | Accepting new patients | |
| Hernando Family Practice Center Inc | Past | Accepting new patients | |
| Mulberry Oriental Medicine | Past | Accepting new patients |
Locations
12142 Cortez Blvd
Brooksville, FL 34613
Phone (352) 596-1500
12148 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 596-9095
910 Old Camp Rd
Ste 164
The Villages, FL 32162
Phone (352) 430-2720
910 Old Camp Rd
Ste 192
The Villages, FL 32162
Phone (352) 430-2720
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AAJHDD/Endpoint/AAJHDD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Brooksville, FL
- NPI 1508053091
-
- Family Health Clinical Nurse Specialist
- The Villages, FL
- NPI 1588980601
-
- Geriatric Medicine (Internal Medicine) Physician
- Spring Hill, FL
- NPI 1336154053
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Oak Hill Hospital
- General Acute Care Hospital
- Brooksville, FL
- NPI 1013961838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618531200000",
"number": "1225045156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12142 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135575",
"telephone_number": "352-596-9095",
"fax_number": "352-578-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12142 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135575",
"telephone_number": "352-596-9095",
"fax_number": "352-578-1032"
}
],
"practiceLocations": [
{
"address_1": "12148 Cortez Blvd",
"address_purpose": "LOCATION",
"city": "Brooksville",
"state": "FL",
"postal_code": "346135575",
"country_code": "US",
"telephone_number": "352-596-9095",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORENO",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2021-04-16",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME83919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.