Individual provider Active NPI

Angela Y. Moore, MD, PA

  • Dermatopathology Physician
  • Arlington, TX
National Provider Identifier
1235142266
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
J4627 Issued in TX
Practice address
711 E Lamar Blvd Ste 200
Arlington, TX 76011-3800
Phone
(817) 795-7546
Fax
(817) 226-7546
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X J4627 TX
Dermatopathology Physician 207ND0900X J4627 TX Primary

Addresses

Primary practice location

711 E Lamar Blvd Ste 200
Arlington, TX 76011-3800

Mailing address

711 E Lamar Blvd Ste 200
Arlington, TX 76011-3800
Phone (817) 795-7546

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
I20100730000569 TX Practitioner - DermatologyPractitioner - Pathology 3971575291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
Baylor College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Angela Yen Moore MD PAGroup PAC ID 4082686308, 4 clinicians

Practice addresses (Care Compare)

711 E Lamar Blvd
Suite 200
Arlington, TX 76011-3800
Phone 8177957546320

Merit-based Incentive Payment System (MIPS)

Final score
88.08 of 100Reported as group
Quality
78.33
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision262
Removal of skin lesions2590
Removal or shaving of skin growth1-10
Skin biopsy206

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Angela Yen Moore, MD PA Dermatology CurrentSince Dec 18, 2000 Accepting new patients

Locations

711 E Lamar Blvd
Ste 200
Arlington, TX 76011
Phone (817) 795-7546

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDDAAA/Endpoint/CDDAAA

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1235142266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E LAMAR BLVD STE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760113800",
            "telephone_number": "817-795-7546",
            "fax_number": "817-226-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E LAMAR BLVD STE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760113800",
            "telephone_number": "817-795-7546",
            "fax_number": "817-226-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANGELA",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "MD, PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "J4627",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TX",
            "license": "J4627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.