Active NPI
Laura Catalina De Moya Vega, M.D.
- Internal Medicine Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- M4028
- Practice address
- 3500 Gaston Ave
4 Roberts
Dallas, TX 75246-2017 - Phone
- (214) 820-3000
- Fax
- (214) 820-3022
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | M4028 | TX | |
| Internal Medicine Physician | 207R00000X | M4028 | TX | Primary |
Addresses
Primary practice location
3500 Gaston Ave
4 Roberts
Dallas, TX 75246-2017
Mailing address
3500 Gaston Ave
4 Roberts
Dallas, TX 75246-2017
Phone (214) 820-3000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183953202 | Medicaid | TX | |
| 183953201 | Medicaid | TX | |
| 8G0894 | Other | TX | BCBS |
| 8CZ844 | Other | TX | BCBSTX |
| 183953203 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ldemoya225189@direct.sw.org |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M4028 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
| Inpatient Physician Associates PLLC | Internal Medicine | Current | Accepting new patients |
| Healthtexas Provider Network--Dallas Diagnostic Association | Internal Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas-Dallas Diagnostic Association | Internal Medicine | Current | Accepting new patients |
Locations
3500 Gaston Ave
#4
Dallas, TX 75246
Phone (214) 820-1000
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690
3409 Worth St
Ste 410
Dallas, TX 75246
Phone (214) 820-6544
3434 Swiss Ave
Ste 201
Dallas, TX 75204
Phone (214) 828-5000
3600 Gaston Ave
Ste 558
Dallas, TX 75246
700 Walter Reed Blvd
Ste 203
Garland, TX 75042
Phone (972) 426-9900
1441 S Midlothian Pkwy
Ste 100A
Midlothian, TX 76065
Phone (469) 800-9440
4700 Alliance Blvd
Ste 400
Plano, TX 75093
Phone (469) 814-6631
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
2400 N Interstate Highway 35 E
Waxahachie, TX 75165
Phone (469) 843-4000
Organizations & group practices 6
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
- Dallas, TX
- NPI 1285696898
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Dermatology Physician
- Garland, TX
- NPI 1255337275
Internal Medicine
-
- Internal Medicine Physician
- Plano, TX
- NPI 1245235886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1497863187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 GASTON AVE",
"address_2": "4 ROBERTS",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462017",
"telephone_number": "214-820-3000",
"fax_number": "214-820-3022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 GASTON AVE",
"address_2": "4 ROBERTS",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462017",
"telephone_number": "214-820-3000",
"fax_number": "214-820-3022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE MOYA VEGA",
"first_name": "LAURA",
"middle_name": "CATALINA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "M4028",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "M4028",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183953202",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183953201",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8G0894",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "8CZ844",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183953203",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ldemoya225189@direct.sw.org",
"affiliation": "N",
"address_1": "2400 N I 35",
"city": "Waxahachie",
"state": "TX",
"country_code": "US",
"postal_code": "751655240",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.