Individual provider Active NPI

Cynthia A Mace-Motta, D.O

  • Obstetrics & Gynecology Physician
  • Grapevine, TX
National Provider Identifier
1366448102
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J9185 Issued in TX
Practice address
1600 W College St Ste 260
Grapevine, TX 76051-2101
Phone
(972) 247-8757
Fax
(972) 401-9135
NPI assigned
Jun 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X J9185 TX
Maternal & Fetal Medicine Physician 207VM0101X J9185 TX
Obstetrics Physician 207VX0000X J9185 TX
Obstetrics & Gynecology Physician 207V00000X J9185 TX Primary

Addresses

Primary practice location

1600 W College St Ste 260
Grapevine, TX 76051-2101

Mailing address

PO Box 674325
Dallas, TX 75267-4325
Phone (972) 616-4000

Other identifiers 5

IdentifierTypeStateIssuer
100195004MedicaidTX
100195005OtherTXMEDICAID - OTHER
8F5170OtherTXBCBS
100195003MedicaidTX
366462YL7AOtherTXMEDICARE - OTHER COUNTY

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
I20100205000440 TX Practitioner - Obstetrics/Gynecology 0749294312 Reassigns benefits to 1 organization
Practice locations: Irving, TX

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ohio University, College of Osteopathic Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3501 N Macarthur Blvd
Suite 350
Irving, TX 75062-3600
Phone (972) 257-5300

Hospital & facility affiliations

  • Medical City Las Colinas Hospital, Irving, TX, CCN 450822
  • Baylor Scott & White Medical Center at Irving Hospital, Irving, TX, CCN 450079
  • Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J9185TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia Mace-Motta, DO PA Gynecology PastSince Apr 1, 2017 Accepting new patients
Doreen Moser DO PA Obstetrics & Gynecology Past Accepting new patients

Organizations & group practices 3

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 4

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1366448102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674325",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674325",
            "telephone_number": "972-616-4000",
            "fax_number": "972-294-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W COLLEGE ST STE 260",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512101",
            "telephone_number": "972-247-8757",
            "fax_number": "972-401-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACE-MOTTA",
        "first_name": "CYNTHIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "J9185",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "J9185",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "J9185",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J9185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100195004",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - OTHER",
            "identifier": "100195005",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8F5170",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100195003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - OTHER COUNTY",
            "identifier": "366462YL7A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.