Individual provider Active NPI

Enash Silvan Moodley

  • Critical Care Medicine (Internal Medicine) Physician
  • Houston, TX
National Provider Identifier
1396967980
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
36748 Issued in SC
Practice address
11920 Astoria Blvd Ste 320
Houston, TX 77089-6097
Phone
(281) 484-9369
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X Q6771 TX
Hospitalist Physician 208M00000X Q6771 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 36748 SC Primary
Emergency Medicine Physician 207P00000X Q6771 TX
Emergency Medicine Physician 207P00000X 36748 SC
Internal Medicine Physician 207R00000X 36748 SC

Addresses

Primary practice location

11920 Astoria Blvd Ste 320
Houston, TX 77089-6097

Mailing address

11920 Astoria Blvd
Ste 320
Houston, TX 77089-6097
Phone (281) 484-9369

Other identifiers 1

IdentifierTypeStateIssuer
367481MedicaidSC

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
I20160422001797 TX Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Emergency Medicine 8628177029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Emergency Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Pulmonary Medicine Associates PAGroup PAC ID 4082602198, 8 clinicians

Practice addresses (Care Compare)

11920 Astoria Blvd
Houston, TX 77089-6097
Phone (281) 484-9369

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Pulmonary Medicine Associates PA CurrentSince May 18, 2016 Accepting new patients
Memorial Hermann Hospital Based Physician Group Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Aug 15, 2016 Accepting new patients
Memorial Hermann Health System Past Accepting new patients
Pulmonary & Critical Care Medicine Consultants PC PastSince Jul 24, 2022 Accepting new patients
SJMH Medical Practice-SMHC Internal Medicine Past Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

27800 NW Freeway
Cypress, TX 77433
Phone (346) 231-4000

921 Gessner Rd
#H
Houston, TX 77024

11920 Astoria Blvd
Ste 320
Houston, TX 77089
Phone (281) 484-9369

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

2555 Gulf Fwy S
Ste C1100
League City, TX 77573
Phone (832) 932-9850

2555 Gulf Fwy S
#C1100
League City, TX 77573

2555 Gulf Fwy S
League City, TX 77573
Phone (832) 932-9850

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

9250 Pinecroft Dr
#C
Shenandoah, TX 77380

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECHIAA

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 6

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1396967980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11920 ASTORIA BLVD",
            "address_2": "STE 320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896097",
            "telephone_number": "281-484-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11920 ASTORIA BLVD STE 320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896097",
            "telephone_number": "281-484-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODLEY",
        "first_name": "ENASH",
        "middle_name": "SILVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "Q6771",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "Q6771",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "SC",
            "license": "36748",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q6771",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "36748",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "36748",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367481",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.