Individual provider Active NPI

John Moon III, M.D.

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1417912833
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L2479 Issued in TX
Practice address
5655 West Spring Creek Pkwy
Suite 200
Plano, TX 75024
Phone
(972) 599-9600
Fax
(972) 599-9696
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L2479 TX Primary

Addresses

Primary practice location

5655 West Spring Creek Pkwy
Suite 200
Plano, TX 75024

Mailing address

5655 West Spring Creek Pkwy
Suite 200
Plano, TX 75024
Phone (972) 599-9600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.moon.1@30724.direct.athenahealth.com

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
I20080409000780 TX Practitioner - Family Practice 2264519677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catalyst Physician Group - NTX, PLLCGroup PAC ID 4284074758, 87 clinicians

Practice addresses (Care Compare)

5655 W Spring Creek Pkwy
Plano, TX 75024-4174
Phone (972) 599-9600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L2479TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Physician Group - NTX, PLLC Family Medicine CurrentSince May 1, 2024 Accepting new patients
North Texas Village Health Partners, PA Family Medicine CurrentSince Jul 30, 2007 Accepting new patients

Locations

469 Westpark Way
Euless, TX 76040
Phone (817) 283-2888

1610 Commons Cir
Northlake, TX 76226
Phone (940) 725-3400

5655 W Spring Creek Pkwy
Plano, TX 75024
Phone (972) 566-9600

5655 W Spring Creek Pkwy
Ste 200
Plano, TX 75024
Phone (972) 599-9600

5425 W Spring Creek Pkwy
Plano, TX 75024
Phone (972) 599-9600

5425 W Spring Creek Pkwy
Ste 200
Plano, TX 75024
Phone (972) 599-9600

Interoperability endpoints

  • Direct secure messaging: john.moon.1@30724.direct.athenahealth.com

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.

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1417912833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 WEST SPRING CREEK PKWY",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75024",
            "telephone_number": "972-599-9600",
            "fax_number": "972-599-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 WEST SPRING CREEK PKWY",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75024",
            "telephone_number": "972-599-9600",
            "fax_number": "972-599-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "JOHN",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L2479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.moon.1@30724.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "5655 West Spring Creek Pkwy",
            "address_2": "Suite 200",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.