Individual provider Active NPI

Nathan Raymond Moody, D.O.

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1356645287
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R6845 Issued in TX
Practice address
930 North Central Expressway
Ste 100
Dallas, TX 75231
Phone
(214) 265-2810
NPI assigned
Jan 6, 2011
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 58.003731 OH
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X R6845 TX Primary

Addresses

Primary practice location

930 North Central Expressway
Ste 100
Dallas, TX 75231

Mailing address

5601 Cedar Ridge Dr
Midlothian, TX 76065-4603
Phone (205) 965-3923

Other practice location 1

4500 S Lancaster Rd
Dallas, TX 75216-7167
Phone (214) 857-1975

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
I20240731001109 TX Practitioner - Emergency MedicinePractitioner - Obstetrics/Gynecology 4284875006 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
West Virginia School of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Century Integrated Partners, IncGroup PAC ID 6406151703, 330 clinicians

Practice addresses (Care Compare)

1400 8TH Ave
Fort Worth, TX 76104-4110
Phone (817) 926-2544

2201 W Lampasas St
Ennis, TX 75119-5644
Phone (972) 875-0900

Hospital & facility affiliations

  • Parkview Regional Hospital Hospital, Mexia, TX, CCN 450400
  • Baylor Scott and White All Saints Medical Center Hospital, Fort Worth, TX, CCN 450137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58.003731OHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Century Integrated Partners, Inc Multi-Specialty CurrentSince Jul 5, 2025 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC Multi-Specialty CurrentSince Aug 1, 2025 Accepting new patients
Concord Medical Group of Texas PLLC Multi-Specialty CurrentSince Jul 19, 2024 Accepting new patients
Texas ER Group PLLC Multi-Specialty CurrentSince Aug 22, 2025 Accepting new patients
Hospitalist Medicine Physicians of Texas - Cypress PLLC Multi-Specialty CurrentSince Jun 29, 2025 Accepting new patients
Mercy Health Urgent Care LLC Multi-Specialty Past Accepting new patients
Dallas Anesthesiology Associates, PA Multi-Specialty Past Accepting new patients

Locations

504 Lipscomb St
Bonham, TX 75418
Phone (903) 583-8585

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

9301 N Central Expy
Ste 100
Dallas, TX 75231
Phone (214) 365-8144

3500 Gaston Ave
Dallas, TX 75246

2201 W Lampasas St
Ennis, TX 75119
Phone (469) 256-2458

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1535 West Loop S
Ste 300
Houston, TX 77027
Phone (713) 961-0423

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

2200 N Bryan Ave
Lamesa, TX 79331
Phone (806) 872-2183

220 Blanco St
Ste 2
Lumberton, TX 77657
Phone (409) 755-2273

600 S Bonham St
Mexia, TX 76667
Phone (254) 562-5332

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

1498 Pacific Ave
Ste 500
Tacoma, WA 98402
Phone (253) 682-6040

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1356645287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 CEDAR RIDGE DR",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760654603",
            "telephone_number": "205-965-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 NORTH CENTRAL EXPRESSWAY",
            "address_2": "STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "214-265-2810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 S Lancaster Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752167167",
            "country_code": "US",
            "telephone_number": "214-857-1975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOODY",
        "first_name": "NATHAN",
        "middle_name": "RAYMOND",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-06",
        "last_updated": "2022-07-06",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "58.003731",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R6845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.