Active NPI
Roberto Andres Moya, M.D., P.A.
- Specialist
- Hialeah, FL
National Provider Identifier
1376596205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME31217
- Practice address
- 2140 W 68TH St
Suite 201
Hialeah, FL 33016-1815 - Phone
- (305) 826-4046
- Fax
- (305) 556-6271
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME31217 | FL | Primary |
Addresses
Primary practice location
2140 W 68TH St
Suite 201
Hialeah, FL 33016-1815
Mailing address
2140 W 68TH St
Suite 201
Hialeah, FL 33016-1815
Phone (305) 826-4046
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201488 | Other | FL | AMERIGROUP PROVIDER # |
| 95457 | Other | FL | BCBS PROVIDER # |
| 001237HILH | Other | FL | NEIGHBORHHOD PROVIDER # |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040406001668 | FL | Practitioner - Orthopedic Surgery | 2163415993 | Practice locations: Miami, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roberto a. Moya, MD, PA | Specialist | Current | Accepting new patients |
| Pedro F. Bermann, M.D., P.a. | Past | Accepting new patients |
Locations
2140 W 68th St
Ste 201
Hialeah, FL 33016
Phone (305) 557-0212
Organizations & group practices 2
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.
-
- Specialist
- Hialeah, FL
- NPI 1013089176
-
- Orthopaedic Surgery Physician
- Hialeah, FL
- NPI 1609144252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592352000000",
"number": "1376596205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 W 68TH ST",
"address_2": "SUITE 201",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161815",
"telephone_number": "305-826-4046",
"fax_number": "305-556-6271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 W 68TH ST",
"address_2": "SUITE 201",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161815",
"telephone_number": "305-826-4046",
"fax_number": "305-556-6271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYA",
"first_name": "ROBERTO",
"middle_name": "ANDRES",
"name_prefix": "Dr.",
"credential": "M.D., P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME31217",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP PROVIDER #",
"identifier": "201488",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "95457",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHHOD PROVIDER #",
"identifier": "001237HILH",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.