Active NPI
Moritz Casper Wyler Von Ballmoos, MD/PHD/MPH
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- R4499
- Practice address
- 6550 Fannin St Ste 1401
Houston, TX 77030 - Phone
- (713) 441-5200
- NPI assigned
- Apr 15, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2016-01460 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | R4499 | TX | Primary |
Addresses
Primary practice location
6550 Fannin St Ste 1401
Houston, TX 77030
Mailing address
6550 Fannin St Ste 1401
Houston, TX 77030-2738
Phone (713) 441-5200
Other practice location 1
2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111
Other practice location 2
2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 379135201 | Medicaid | TX |
Other names 1
- Dr. Moritz Wyler
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1325 Pennsylvania Ave
Suite 560
Fort Worth, TX 76104-2152
Phone (817) 250-7240
Hospital & facility affiliations
- Texas Health Harris Methodist Fort Worth
- Texas Health Harris Methodist Hospital Southwest F
- Texas Health Harris Methodist Hospital Alliance
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R4499 | TX | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| TMH Physician Associates PLLC | Current | Accepting new patients |
Locations
1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803
1325 Pennsylvania Ave
Ste 560
Ft Worth, TX 76104
Phone (817) 250-7240
1325 Pennsylvania Ave
Ste 550
Ft Worth, TX 76104
Phone (817) 250-7190
6550 Fannin St
Ste 1401
Houston, TX 77030
Phone (713) 441-5200
6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633
7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955
16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800
Interoperability endpoints
- mwylervonballmoos2455023@direct.texashealth.org
- mwylervonballmoos160909@direct.houstonmethodist.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
-
- Ophthalmology Physician
- Houston, TX
- NPI 1275779225
-
- Sleep Disorder Diagnostic Clinic/Center
- Fort Worth, TX
- NPI 1114395969
-
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
-
- Orthopaedic Surgery Physician
- Spring, TX
- NPI 1043061351
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1215296884
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1417980202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1487970463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6550 FANNIN ST STE 1401",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302738",
"telephone_number": "713-441-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 FANNIN ST STE 1401",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-441-5200"
}
],
"practiceLocations": [
{
"address_1": "2301 Erwin Rd",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277054699",
"country_code": "US",
"telephone_number": "919-684-8111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2301 Erwin Rd",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277054699",
"country_code": "US",
"telephone_number": "919-684-8111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WYLER VON BALLMOOS",
"first_name": "MORITZ",
"middle_name": "CASPER",
"name_prefix": "Dr.",
"credential": "MD/PHD/MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-15",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2016-01460",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TX",
"license": "R4499",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "379135201",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MORITZ",
"last_name": "WYLER",
"prefix": "DR.",
"credential": "MD/PHD/MPH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.