Individual provider Active NPI

Carlos I Moreno, MD

  • Internal Medicine Physician
  • Edinburg, TX
National Provider Identifier
1306828280
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L1135 Issued in TX
Practice address
3516 W Alberta Rd
Edinburg, TX 78539-8466
Phone
(956) 803-0121
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L1135 TX Primary

Addresses

Primary practice location

3516 W Alberta Rd
Edinburg, TX 78539-8466

Mailing address

16568 Garrett Rd
Harlingen, TX 78552-4229
Phone (956) 767-0761

Other identifiers 4

IdentifierTypeStateIssuer
030382805MedicaidTX
030382801MedicaidTX
8R0693OtherTXBCBS
030382805OtherTXCSHCN

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
I20040810000092 TX Practitioner - Internal MedicinePractitioner - Emergency Medicine 0244202323 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RGV Urgent Care Clinic McAllen LLCGroup PAC ID 5698193365, 3 clinicians

Practice addresses (Care Compare)

2812 W Nolana Ave
Suite 210
McAllen, TX 78504-4190
Phone (956) 540-7046

3502 W Alberta Rd
Edinburg, TX 78539-8466
Phone (956) 803-0120

3516 W Alberta Rd
Edinburg, TX 78539-8466
Phone (956) 803-0121

Hospital & facility affiliations

  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869
  • Rio Grande Regional Hospital Hospital, McAllen, TX, CCN 450711

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Springs Emergency Medicine Associates, PA Emergency Medicine CurrentSince Mar 8, 2020 Accepting new patients
Municipal Emergency Medicine Associates, PA Emergency Medicine CurrentSince Mar 8, 2020 Accepting new patients
McAllen Emergency Medicine Associates PA Emergency Medicine CurrentSince Mar 20, 2020 Accepting new patients
Edinburg Emergency Medicine Associates PA Emergency Medicine CurrentSince Mar 9, 2020 Accepting new patients
Shavano Emergency Medicine Associates, PA Emergency Medicine CurrentSince Mar 8, 2020 Accepting new patients
Oak Creek Emergency Medicine Associates, PA Emergency Medicine CurrentSince Mar 8, 2020 Accepting new patients
RGV Urgent Care Clinic McAllen LLC CurrentSince Jan 24, 2020 Accepting new patients
Wellness Family Clinic PLLC CurrentSince May 1, 2022 Accepting new patients
RGV Urgent Care Clinic PLLC Internal Medicine CurrentSince May 10, 2018 Accepting new patients
RFC Radiology Associates LLC Past Accepting new patients
Planet Med LP Internal Medicine PastSince Apr 15, 2005 Accepting new patients

Locations

809 Main St
Ste 2
Alamo, TX 78516
Phone (956) 223-4913

140 Frontage Rd
Alamo, TX 78516
Phone (956) 403-5100

809 Main St
Ste 1
Alamo, TX 78516
Phone (956) 223-1700

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

3516 W Alberta Rd
Edinburg, TX 78539
Phone (956) 801-0121

3615 N Interstate 69C
Edinburg, TX 78542
Phone (956) 259-2100

4702 S McColl Rd
Edinburg, TX 78539
Phone (956) 213-2600

3502 W Alberta Rd
Edinburg, TX 78539
Phone (956) 618-2961

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

1900 S D St
McAllen, TX 78503
Phone (956) 994-2000

3700 W Nolana Ave
McAllen, TX 78504
Phone (956) 213-2700

2812 W Nolana Ave
Ste 210
McAllen, TX 78504
Phone (956) 540-7046

Interoperability endpoints

  • Direct secure messaging: carlos.moreno.1@17519.direct.athenahealth.com

Organizations & group practices 11

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 3

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1306828280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16568 GARRETT RD",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785524229",
            "telephone_number": "956-767-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 W ALBERTA RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398466",
            "telephone_number": "956-803-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "CARLOS",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L1135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030382805",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030382801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8R0693",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "030382805",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.