Individual provider Active NPI

Adan Mora Jr., M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Dallas, TX
National Provider Identifier
1376730549
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
M1950 Issued in TX
Practice address
5200 Harry Hines Blvd
Dallas, TX 75284-1800
Phone
(214) 590-8000
Fax
(214) 645-6257
NPI assigned
Oct 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M1950 TX
Pulmonary Disease Physician 207RP1001X M1950 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X M1950 TX Primary

Addresses

Primary practice location

5200 Harry Hines Blvd
Dallas, TX 75284-1800

Mailing address

PO Box 845347
Dallas, TX 75284-5347

Other identifiers 2

IdentifierTypeStateIssuer
8AA852OtherTXBLUE CROSS
193729403MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amora1263709@direct.trinity-health.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR, NM, AL, NC, SC, VA7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20080418000375 TX Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Pediatric Medicine 0749368520 Reassigns benefits to 3 organizations
I20250128004908 AR Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 0749368520
I20250128004914 NM Practitioner - Critical Care (Intensivists) 0749368520 Reassigns benefits to 1 organization
I20250206000544 AL Practitioner - Internal Medicine 0749368520
I20250325002753 NC Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 0749368520 Reassigns benefits to 1 organization
I20250425001651 SC Practitioner - Critical Care (Intensivists) 0749368520
I20250425001688 VA Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 0749368520

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
University of Texas Medical School at Houston, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Texas Southwestern Medical Center at DallasGroup PAC ID 0648188250, 3,156 clinicians

Practice addresses (Care Compare)

5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 590-8000

Hospital & facility affiliations

  • Parkland Health & Hospital System Hospital, Dallas, TX, CCN 450015

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jun 1, 2023 Accepting new patients
Healthtexas Provider Network CurrentSince Aug 3, 2010 Accepting new patients
Foley Hospital Company LLC CurrentSince Nov 27, 2024 Accepting new patients
Healthtexas Provider Network Internal Medicine CurrentSince Aug 3, 2010 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jun 1, 2023 Accepting new patients
Dallas County Hospital District Past Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

3600 Gaston Ave
Ste 550
Dallas, TX 75246
Phone (214) 821-1177

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: amora225577@direct.sw.org
  • Direct secure messaging: amora1263709@direct.trinity-health.org

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 45

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 45

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1376730549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752841800",
            "telephone_number": "214-590-8000",
            "fax_number": "214-645-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "ADAN",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M1950",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "M1950",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "M1950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8AA852",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193729403",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amora1263709@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Mount Carmel Health Columbus Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "150 Taylor Station Rd Ste 200",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432134470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.