Active NPI
David Gabriel Mora-Boellstorff, MD
- Ophthalmology Physician
- Bryan, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- W7091
- Practice address
- 3387 University Dr E Ste 412
Bryan, TX 77802-3470 - Phone
- (713) 524-3434
- Fax
- (713) 524-3220
- NPI assigned
- Apr 1, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | W7091 | TX | |
| Ophthalmology Physician | 207W00000X | W7091 | TX | Primary |
Addresses
Primary practice location
3387 University Dr E Ste 412
Bryan, TX 77802-3470
Mailing address
PO Box 737507
Dallas, TX 75373-7507
Phone (713) 524-3434
Other practice location 1
4460 Bissonnet St Ste 200
Bellaire, TX 77401-3234
Phone (713) 524-3434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Texas Medical School at Houston, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cei Physicians PSC, LLC
Practice addresses (Care Compare)
1945 Cei Dr
Blue Ash, OH 45242-5664
Phone 51398451333741
3130 Highland Ave
Cincinnati, OH 45219-2399
Phone (513) 584-4503
580 S Loop Rd
Suite 200
Edgewood, KY 41017-3415
Phone 51398451333741
Hospital & facility affiliations
- University of Cincinnati Medical Center, LLC
- Cincinnati Children'S Hospital Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.94 of 100
- Quality
- 61.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.150069 | OH | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cei Physicians PSC LLC | Ophthalmology | Current | Accepting new patients |
| Cei Physicians PSC, LLC | Current | Accepting new patients | |
| Cei Physicians PSC LLC | Ophthalmology | Current | Accepting new patients |
| University of Cincinnati Physicians Company, LLC | Current | Accepting new patients | |
| Retina Consultants of Houston PLLC | Ophthalmology | Past | Accepting new patients |
| Cei Physicians PSC LLC | Past | Accepting new patients | |
| Retina Consultants of Houston PLLC | Ophthalmology | Past | Accepting new patients |
| Retina Consultants of Houston PLLC | Ophthalmology | Past | Accepting new patients |
Locations
580 S Loop Rd
Edgewood, KY 41017
Phone (859) 301-6000
580 S Loop Rd
Ste 200
Edgewood, KY 41017
Phone (859) 331-9000
9997 Carver Rd
Ste 200
Blue Ash, OH 45242
1945 Cei Dr
Blue Ash, OH 45242
3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281
200 Albert Sabin Way
Cincinnati, OH 45267
Phone (513) 475-7500
2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523
3310 Mercy Health Blvd
Ste 220
Cincinnati, OH 45211
Phone (513) 654-2299
601 Ivy Gtwy
Ste 301
Cincinnati, OH 45245
Phone (513) 654-2299
3130 Highland Ave
Cincinnati, OH 45219
Phone (513) 584-4061
563 Wessel Dr
Fairfield, OH 45014
Phone (513) 858-6500
6150 Radio Way
Mason, OH 45040
Phone (513) 770-4020
5850 Innovation Dr
Middletown, OH 45005
Phone 5134259796 ext. 59796
Interoperability endpoints
- dmoraboellstorff1101506@wm.providencedirect.org
- david.moraboellstorf.d1.p1@direct.cei.nextgenshare.com
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
-
- Ophthalmology Physician
- Edgewood, KY
- NPI 1033108592
-
- Ophthalmology Physician
- Cincinnati, OH
- NPI 1942296298
-
- Ambulatory Surgical Clinic/Center
- Richmond Heights, OH
- NPI 1891406328
-
- Retina Specialist (Ophthalmology) Physician
- Beaumont, TX
- NPI 1720758709
-
- Ophthalmology Physician
- Pearland, TX
- NPI 1780294629
-
- Retina Specialist (Ophthalmology) Physician
- Bellaire, TX
- NPI 1902975352
-
- Ophthalmologic Surgery Clinic/Center
- Blue Ash, OH
- NPI 1790772804
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Cincinnati, OH
- NPI 1548212988
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1033154026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1285196006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 737507",
"city": "DALLAS",
"state": "TX",
"postal_code": "753737507",
"telephone_number": "713-524-3434",
"fax_number": "713-524-3220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3387 UNIVERSITY DR E STE 412",
"city": "BRYAN",
"state": "TX",
"postal_code": "778023470",
"telephone_number": "713-524-3434",
"fax_number": "713-524-3220"
}
],
"practiceLocations": [
{
"address_1": "4460 Bissonnet St Ste 200",
"address_purpose": "LOCATION",
"city": "Bellaire",
"state": "TX",
"postal_code": "774013234",
"country_code": "US",
"telephone_number": "713-524-3434",
"fax_number": "713-524-3220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORA-BOELLSTORFF",
"first_name": "DAVID",
"middle_name": "GABRIEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-01",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "TX",
"license": "W7091",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "W7091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.