Individual provider Active NPI

Misoo Woo, PA-C

  • Physician Assistant
  • North Richland Hills, TX
National Provider Identifier
1245806389
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
030900 Issued in NY
Practice address
4375 Booth Calloway Rd Ste 307
North Richland Hills, TX 76180-8364
Phone
(469) 274-2110
NPI assigned
May 30, 2021
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA14505 TX
Physician Assistant 363A00000X 030900 NY Primary

Addresses

Primary practice location

4375 Booth Calloway Rd Ste 307
North Richland Hills, TX 76180-8364

Mailing address

6917 State Highway 161 Apt 352
Irving, TX 75039-2453
Phone (469) 274-2110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210726002839 TX Practitioner - Physician Assistant 8921401126 Reassigns benefits to 2 organizations
I20241016004130 NY Practitioner - Physician Assistant 8921401126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
030900NYMDSpeech-Language Pathologist
PA14505TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Aug 12, 2024 Accepting new patients
Texas Health Physicians Group CurrentSince Sep 1, 2022 Accepting new patients
New York University CurrentSince Aug 12, 2024 Accepting new patients
Texas Digestive Disease Consultants PLLC CurrentSince Jul 1, 2021 Accepting new patients
Texas Health Physicians Group CurrentSince Sep 1, 2022 Accepting new patients

Locations

700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

701 Tuscan Dr
Ste 110
Irving, TX 75039
Phone (214) 496-1100

601 S Main St
Keller, TX 76248
Phone (817) 741-4347

4375 Booth Calloway Rd
Ste 307
North Richland Hills, TX 76180
Phone (682) 463-0400

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1622332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1245806389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6917 STATE HIGHWAY 161 APT 352",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392453",
            "telephone_number": "469-274-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 BOOTH CALLOWAY RD STE 307",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808364",
            "telephone_number": "469-274-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOO",
        "first_name": "MISOO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-30",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA14505",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "030900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.