Individual provider Active NPI

Moez Mithani, MD

  • Interventional Pain Medicine Physician
  • San Antonio, TX
National Provider Identifier
1376047837
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
V1351 Issued in TX
Practice address
20079 Stone Oak Pkwy Ste 1245
San Antonio, TX 78258-6957
Phone
(210) 545-0087
Fax
(210) 545-3455
NPI assigned
Mar 20, 2018
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD61258608 WA
Anesthesiology Physician 207L00000X 4373-320 WI
Interventional Pain Medicine Physician 208VP0014X V1351 TX Primary

Addresses

Primary practice location

20079 Stone Oak Pkwy Ste 1245
San Antonio, TX 78258-6957

Mailing address

20079 Stone Oak Pkwy Ste 1245
San Antonio, TX 78258-6957
Phone (210) 545-0087

Other practice location 1

9130 Wurzbach Rd Ste 120
San Antonio, TX 78240
Phone (210) 545-0087

Other practice location 2

102 Palo Alto Rd Ste 200
San Antonio, TX 78211
Phone (210) 545-0087

Other identifiers 1

IdentifierTypeStateIssuer
100277814MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, NJ, WI, TX5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20220705000242 WA Practitioner - Anesthesiology 1951781236 Reassigns benefits to 2 organizations
I20230526001557 OR Practitioner - Anesthesiology 1951781236 Reassigns benefits to 1 organization
I20231215002301 NJ Practitioner - Anesthesiology 1951781236 Reassigns benefits to 1 organization
I20240711001902 WI Practitioner - Anesthesiology 1951781236
I20241107000843 TX Practitioner - Anesthesiology 1951781236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spine Care and Pain Management of San Antonio LLCGroup PAC ID 5092006049, 8 clinicians
Lone Star Anesthesia Partners PLLCGroup PAC ID 4880072636, 58 clinicians

Practice addresses (Care Compare)

20079 Stone Oak Pkwy
Suite 1245
San Antonio, TX 78258-6957

332 W Sunset Rd
Suite 3
San Antonio, TX 78209-1755
Phone (210) 545-0087

423 Treeline Park
Suite 202
San Antonio, TX 78209-2078
Phone (910) 949-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD61258608WAMDAnesthesiology Physician
4373-320WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Care & Pain Management of San Antonio LLC Multi-Specialty CurrentSince Nov 1, 2024 Accepting new patients
Lone Star Anesthesia Partners PLLC Multi-Specialty CurrentSince Feb 20, 2025 Accepting new patients
Spine Care & Pain Management of San Antonio LLC Multi-Specialty CurrentSince Nov 1, 2024 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care Multi-Specialty CurrentSince Nov 7, 2023 Accepting new patients
Oregon Anesthesiology Group PC Multi-Specialty CurrentSince May 8, 2023 Accepting new patients
Pacific Anesthesia PC Multi-Specialty CurrentSince Jul 15, 2022 Accepting new patients
Capital Medical Center Specialty Physicians, LLC Multi-Specialty CurrentSince Sep 18, 2024 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care Multi-Specialty CurrentSince Nov 7, 2023 Accepting new patients

Locations

1 Robert Wood Johnson Pl
#G
New Brunswick, NJ 08901
Phone (732) 937-8841

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

707 SW Washington St
Ste 700
Portland, OR 97205

102 Palo Alto Rd
Ste 200
San Antonio, TX 78211
Phone (210) 403-0765

20079 Stone Oak Pkwy
Ste 1245
San Antonio, TX 78258
Phone (726) 203-4561

423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000

3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

Interoperability endpoints

  • Direct secure messaging: mmithani797347@direct.multicare.org
  • Direct secure messaging: moez.mithani.1@5512.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1376047837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20079 STONE OAK PKWY STE 1245",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782586957",
            "telephone_number": "210-545-0087",
            "fax_number": "210-545-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20079 STONE OAK PKWY STE 1245",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782586957",
            "telephone_number": "210-545-0087",
            "fax_number": "210-545-3455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9130 Wurzbach Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78240",
            "country_code": "US",
            "telephone_number": "210-545-0087",
            "fax_number": "210-545-3455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Palo Alto Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78211",
            "country_code": "US",
            "telephone_number": "210-545-0087",
            "fax_number": "210-545-3455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITHANI",
        "first_name": "MOEZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD61258608",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "4373-320",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "V1351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100277814",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.