Individual provider Active NPI

Elizabeth Ann Moran, MD

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1497945836
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M7444 Issued in TX
Practice address
12221 Merit Dr
Dallas, TX 75251-2202
Phone
(214) 217-1911
NPI assigned
Aug 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M7444 TX Primary

Addresses

Primary practice location

12221 Merit Dr
Dallas, TX 75251-2202

Mailing address

502 S Winnetka Ave
Dallas, TX 75208-5905
Phone (214) 941-4646

Other identifiers 4

IdentifierTypeStateIssuer
P00650234OtherTXRAILROAD
8X1233OtherTXBCBS
188219301MedicaidTX
188219302MedicaidTX

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
I20070830000528 TX Practitioner - Emergency MedicinePractitioner - Other (Physician) 0143313569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matthew Pompeo, MD, PAGroup PAC ID 2062303589, 2 clinicians

Practice addresses (Care Compare)

7955 Harry Hines Blvd
Dallas, TX 75235-3305
Phone (214) 583-6889

8050 Meadow Rd
Dallas, TX 75231-3406
Phone (469) 232-6500

8198 Walnut Hill LN
Presbyterian Dallas Wound
Dallas, TX 75231-4316
Phone (214) 345-4334

Hospital & facility affiliations

  • Harmony Complete Care LLC Home health agency, Plano, TX, CCN 457967
  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462
  • Kindred Hospital Dallas Central Long-term care hospital, Dallas, TX, CCN 452108

Merit-based Incentive Payment System (MIPS)

Final score
34.19 of 100Reported as individual
Quality
30
Improvement activities
0
Cost
54.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue269
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M7444TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Pompeo, MD, PA CurrentSince May 1, 2008 Accepting new patients

Locations

7955 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 583-6817

8198 Walnut Hill Ln
Ste 1A
Dallas, TX 75231

8198 Walnut Hill Ln
Ste A
Dallas, TX 75231
Phone (214) 345-8000

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

Organizations & group practices 1

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 3

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381708800000",
    "number": "1497945836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S WINNETKA AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752085905",
            "telephone_number": "214-941-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 MERIT DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512202",
            "telephone_number": "214-217-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2013-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M7444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00650234",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8X1233",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188219301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188219302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.