Individual provider Active NPI

Marc Moreau, M.D.

  • Cardiovascular Disease Physician
  • Amarillo, TX
National Provider Identifier
1487628293
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
J7102 Issued in TX
Practice address
1901 Port LN
Amarillo, TX 79106-2430
Phone
(806) 358-4596
Fax
(806) 468-0240
NPI assigned
Feb 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X J7102 TX Primary

Addresses

Primary practice location

1901 Port LN
Amarillo, TX 79106-2430

Mailing address

1901 Port LN
Amarillo, TX 79106-2430
Phone (806) 358-4596

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmoreau@amarilloheartgroup.careclouddirect.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
I20041203000282 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2163488107 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Texas Healthcare System IncGroup PAC ID 0941106363, 22 clinicians
NWTX Physician Network PLLCGroup PAC ID 4688899149, 30 clinicians
Bsa Hospital LLCGroup PAC ID 6305090762, 20 clinicians

Practice addresses (Care Compare)

1000 Craig Dr
Amarillo, TX 79106-4015
Phone (806) 351-7045

1200 Wallace Blvd
Amarillo, TX 79106-1741
Phone (806) 410-1992

1501 S Coulter St
Amarillo, TX 79106-1770

1600 Wallace Blvd
Amarillo, TX 79106-1799
Phone (806) 212-6036

Hospital & facility affiliations

  • Northwest Texas Hospital Hospital, Amarillo, TX, CCN 450209
  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231
  • Golden Plains Community Hospital Hospital, Borger, TX, CCN 451369
  • Coon Memorial Hospital Hospital, Dalhart, TX, CCN 451331
  • Southwest Medical Center Hospital, Liberal, KS, CCN 170068

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting107
Varicose vein removal67
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Texas Healthcare System Inc CurrentSince Dec 30, 1994 Accepting new patients
NWTX Physician Network, PLLC CurrentSince Feb 27, 2023 Accepting new patients
Bsa Hospital LLC CurrentSince Jan 1, 2013 Accepting new patients
NWTX Physician Network, PLLC CurrentSince Feb 27, 2023 Accepting new patients
Amarillo Heart Group, LLP Cardiovascular Disease CurrentSince Oct 1, 2004 Accepting new patients
Bsa Hospital, LLC CurrentSince Jan 1, 2013 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1000 Craig Dr
Amarillo, TX 79106
Phone (806) 212-6649

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

1901 Port Ln
Amarillo, TX 79106
Phone (806) 358-4596

5601 W Interstate 40
Amarillo, TX 79106
Phone (806) 318-5777

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

Interoperability endpoints

  • Direct secure messaging: mmoreau84284@ahs.direct-ci.com

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": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1487628293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 PORT LN",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062430",
            "telephone_number": "806-358-4596",
            "fax_number": "806-358-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 PORT LN",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062430",
            "telephone_number": "806-358-4596",
            "fax_number": "806-468-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREAU",
        "first_name": "MARC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "J7102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmoreau@amarilloheartgroup.careclouddirect.com",
            "affiliation": "N",
            "address_1": "1901 Port Ln",
            "city": "Amarillo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "791062430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.