Individual provider Active NPI

Noel J Mora, MD

  • Adult Medicine Physician
  • Hollywood, FL
National Provider Identifier
1538196258
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
ME71747 Issued in FL
Practice address
1759 N University Dr
Hollywood, FL 33024-3601
Phone
(954) 842-2175
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X ME71747 FL Primary

Addresses

Primary practice location

1759 N University Dr
Hollywood, FL 33024-3601

Mailing address

1000 NW 57TH CT Ste 400
Miami, FL 33126-3292
Phone (305) 649-8100

Other practice location 1

601 N Flamingo Rd
Suite 202
Pembroke Pines, FL 33028
Phone (954) 248-6795

Other identifiers 1

IdentifierTypeStateIssuer
261099000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050308000022 FL Practitioner - Family PracticePractitioner - Internal Medicine 2769436377 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Claremedica Viking LLCGroup PAC ID 4789112301, 75 clinicians

Practice addresses (Care Compare)

1759 N University Dr
Hollywood, FL 33024-3601
Phone (954) 842-2175

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME71747FLMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Claremedica Viking LLC CurrentSince Feb 3, 2025 Accepting new patients
QMC LLC CurrentSince Apr 15, 2019 Accepting new patients
Cogent Healthcare of Pensacola LLC Current Accepting new patients
Cogent Healthcare of Pensacola LLC CurrentSince Sep 1, 2022 Accepting new patients
Cogent Healthcare of Pensacola LLC CurrentSince Sep 1, 2022 Accepting new patients
Senior Medical Associates LLC Past Accepting new patients

Locations

3840 Coconut Creek Pkwy
Coconut Creek, FL 33066
Phone (954) 580-8867

1759 N University Dr
Hollywood, FL 33024
Phone (954) 842-2175

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

1225 NW 40th Ave
Unit 2
Lauderhill, FL 33313
Phone (954) 615-0900

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

5201 Blue Lagoon Dr
Fl 9
Miami, FL 33126
Phone (786) 334-1757

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

4960 SW 72nd Ave
Ste 303
Miami, FL 33155
Phone (305) 591-1606

1000 NW 57th Ct
Ste 400
Miami, FL 33126

15105 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 455-2737

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

501 NW 103rd Ave
Pembroke Pines, FL 33026
Phone (954) 251-1497

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

Interoperability endpoints

  • Direct secure messaging: noel.mora.p1@direct.caremax.nextgenshare.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1538196258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NW 57TH CT STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263292",
            "telephone_number": "305-649-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1759 N UNIVERSITY DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243601",
            "telephone_number": "954-842-2175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 N Flamingo Rd",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "33028",
            "country_code": "US",
            "telephone_number": "954-248-6795",
            "fax_number": "954-248-6797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORA",
        "first_name": "NOEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME71747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261099000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.