Individual provider Active NPI

Win Win Moe, MD

  • Nephrology Physician
  • Orlando, FL
National Provider Identifier
1306213616
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME154137 Issued in FL
Practice address
10960 Dylan Loren Cir
Orlando, FL 32825-4439
Phone
(407) 420-7952
Fax
(407) 420-7953
NPI assigned
Aug 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NJ
Nephrology Physician 207RN0300X ME154137 FL Primary

Addresses

Primary practice location

10960 Dylan Loren Cir
Orlando, FL 32825-4439

Mailing address

10960 Dylan Loren Cir
Orlando, FL 32825-4439
Phone (407) 420-7952

Other identifiers 2

IdentifierTypeStateIssuer
116352100MedicaidFL
QF573OtherFLMEDICARE PTAN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221208000295 FL Practitioner - Internal Medicine 0143517391 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Partners of Central Florida LLCGroup PAC ID 0042519225, 3 clinicians
Hasan Shahab, M.D., P.aGroup PAC ID 0244372795, 3 clinicians

Practice addresses (Care Compare)

10960 Dylan Loren Cir
Orlando, FL 32825-4439
Phone (407) 420-7952

Hospital & facility affiliations

  • DaVita Orlando East Dialysis Dialysis facility, Orlando, FL, CCN 102660
  • DaVita Winter Park Dialysis Dialysis facility, Winter Park, FL, CCN 102859
  • DaVita Winter Park Hemo Dialysis Dialysis facility, Winter Park, FL, CCN 102858
  • DaVita Orlando Airport Dialysis Dialysis facility, Orlando, FL, CCN 682618
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Adventhealth Inpatient Rehabilitation Inpatient rehabilitation facility, Orlando, FL, CCN 10T007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME154137FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Partners of Central Florida LLC Nephrology CurrentSince Jan 3, 2023 Accepting new patients
Orlando Health Medical Group Inc Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jan 1, 2023 Accepting new patients
Hasan Shahab, M.D., P.a Nephrology CurrentSince Jan 3, 2023 Accepting new patients

Locations

10960 Dylan Loren Cir
Orlando, FL 32825
Phone (407) 420-7952

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

2906 17th St
Saint Cloud, FL 34769
Phone (407) 425-4847

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1306213616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10960 DYLAN LOREN CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254439",
            "telephone_number": "407-420-7952",
            "fax_number": "407-420-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10960 DYLAN LOREN CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254439",
            "telephone_number": "407-420-7952",
            "fax_number": "407-420-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOE",
        "first_name": "WIN WIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2023-03-06",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME154137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116352100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "QF573",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.