Individual provider Active NPI

Amer Moiduddin, MD

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1407000763
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
N6500 Issued in TX
Practice address
13601 Preston Rd
Ste 1000W
Dallas, TX 75240-4911
Phone
(972) 715-5000
NPI assigned
Nov 12, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 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 246109-1 NY
Anesthesiology Physician 207L00000X N6500 TX Primary
Anesthesiology Physician 207L00000X C55962 CA

Addresses

Primary practice location

13601 Preston Rd
Ste 1000W
Dallas, TX 75240-4911

Mailing address

PO Box 650426
Dallas, TX 75265-0426
Phone (972) 715-5000

Other identifiers 5

IdentifierTypeStateIssuer
8CN122OtherTXBCBS
P00915783OtherTXRAILROAD MEDICARE
217325401MedicaidTX
217325402MedicaidTX
217325403MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20141118001049 CA Practitioner - Anesthesiology 8325101447 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians
Scripps Health Inpatient Providers Medical Group IncGroup PAC ID 9436314762, 209 clinicians
Chula Vista Anesthesia Consultants Medical Group IncGroup PAC ID 9739265505, 5 clinicians

Practice addresses (Care Compare)

225 N Jackson Ave
San Jose, CA 95116-1603
Phone (408) 347-4099

4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 294-8111

435 H St
Chula Vista, CA 91910-4307
Phone (619) 691-7000

Hospital & facility affiliations

  • Scripps Mercy Hospital Hospital, San Diego, CA, CCN 050077
  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C55962CAMDAnesthesiology Physician
246109-1NYMDAnesthesiology Physician
N6500TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Sep 8, 2025 Accepting new patients
Chula Vista Anesthesia Consultants Medical Group Inc Anesthesiology CurrentSince Nov 1, 2019 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Sep 8, 2025 Accepting new patients
Scripps Health Current Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Scripps Health Inpatient Providers Medical Group Inc. CurrentSince Mar 1, 2026 Accepting new patients
Anesthesia Consultants of California Medical Group Inc Anesthesiology CurrentSince Mar 10, 2019 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology Past Accepting new patients

Locations

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

Interoperability endpoints

  • Direct secure messaging: amoiduddin235741@santaclaravalley.direct-ci.net
  • Direct secure messaging: amoiduddin327449@scrippshlth.medalliesdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1407000763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650426",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650426",
            "telephone_number": "972-715-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13601 PRESTON RD",
            "address_2": "STE 1000W",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404911",
            "telephone_number": "972-715-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOIDUDDIN",
        "first_name": "AMER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-12",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "246109-1",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "N6500",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C55962",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CN122",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00915783",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217325401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217325402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217325403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.