Active NPI
Yunus Ali Moosa, M.D.
- Cardiovascular Disease Physician
- Murray, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 46683
- Practice address
- 300 S 8TH St Ste 182W
Murray, KY 42071-2444 - Phone
- (270) 762-1560
- Fax
- (270) 752-2861
- NPI assigned
- Jul 21, 2006
- Last updated
- Oct 24, 2022
- 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 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 200765 | LA | |
| Cardiovascular Disease Physician | 207RC0000X | MD 60408489 | WA | |
| Cardiovascular Disease Physician | 207RC0000X | P4487 | TX | |
| Cardiovascular Disease Physician | 207RC0000X | 46683 | KY | Primary |
| Interventional Cardiology Physician | 207RI0011X | MD 60408489 | WA | |
| Interventional Cardiology Physician | 207RI0011X | 200765 | LA | |
| Interventional Cardiology Physician | 207RI0011X | P4487 | TX | |
| Interventional Cardiology Physician | 207RI0011X | 23782 | OK | |
| Interventional Cardiology Physician | 207RI0011X | MD212821 | OR |
Addresses
Primary practice location
300 S 8TH St Ste 182W
Murray, KY 42071-2444
Mailing address
1370 N Interstate Dr
Suite 154
Norman, OK 73072-3376
Phone (918) 421-6079
Other practice location 1
4 E Clark Bass Blvd
Suite 204
McAlester, OK 74501-4269
Phone (918) 421-6079
Other practice location 2
1211 Skyview Dr
Aberdeen, WA 98520-1099
Phone (360) 533-9830
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00390466 | Other | LA | RR MEDICARE |
| 1584436 | Medicaid | LA | |
| 2017560 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, LA, WA, TX, MS, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10710 McPherson Rd
Suite 300
Laredo, TX 78045-6411
Phone (956) 523-2783
731 12TH Ave NW
Suite 301
Ardmore, OK 73401-5763
Phone (580) 220-6189
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200765 | LA | MD | Interventional Cardiology Physician |
| 23782 | OK | MD | Interventional Cardiology Physician |
| MD 60408489 | WA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Baton Rouge Cardiology Center | Cardiovascular Disease | Current | Accepting new patients |
| GHCH Physician Services, LLC | Cardiovascular Disease | Current | Accepting new patients |
| American Health W LLC | Current | Accepting new patients | |
| Mercy Hospital Ardmore, Inc. | Current | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Current | Accepting new patients | |
| Cura Telehealth and Wellness, P.a. | Current | Accepting new patients | |
| American Health W LLC | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Mercy Hospital Ardmore, Inc | Cardiovascular Disease | Current | Accepting new patients |
| Laredo Physicians Group | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Contract X-Ray Services, Inc. | Current | Accepting new patients | |
| Precision Ultrasound Imaging Inc. | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| St. Luke's Methodist Hospital | Cardiovascular Disease | Past | Accepting new patients |
| Paramount Medical Services of Louisiana, L.L.C. | Interventional Cardiology | Past | Accepting new patients |
| Consolidated Health Systems Inc | Past | Accepting new patients | |
| St Lukes Health Resources | Past | Accepting new patients | |
| Midlands Clinic, P.C. | Past | Accepting new patients | |
| Terrebonne Parish Hospital Service District #1 | Past | Accepting new patients | |
| Lawton Urology | Past | Accepting new patients | |
| Oklahoma Heart Inc | Past | Accepting new patients | |
| Ghazi M. Rayan, MD, Inc. | Past | Accepting new patients | |
| Cardiovascular Institute of the South, LLC | Cardiovascular Disease | Past | Accepting new patients |
Locations
5231 Brittany Dr
Baton Rouge, LA 70808
Phone (725) 767-9867
1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658
731 12th Ave NW
Ste 301
Ardmore, OK 73401
Phone (580) 220-6189
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
6130 E 81st St
Tulsa, OK 74137
Phone (918) 401-1002
4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511
10710 McPherson Rd
Ste 300
Laredo, TX 78045
Phone (956) 489-5454
6801 McPherson Rd
Laredo, TX 78041
Phone (956) 721-0200
1211 Skyview Dr
Aberdeen, WA 98520
Phone (360) 532-3808
319 E Pioneer Ave
Montesano, WA 98563
Phone (360) 249-1980
Interoperability endpoints
- https://epicproxy.ardenthealth.com/fhir/OHI/api/FHIR/R4
- ymoosa1036117@directc.mercy.net
- yunus.moosa.1@9964.direct.athenahealth.com
- yunus.moosa@avera.sdhealthlink.net
Organizations & group practices 25
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Laredo, TX
- NPI 1659619260
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- Cardiovascular Disease Physician
- Baton Rouge, LA
- NPI 1144377102
-
- Neurological Surgery Physician
- Tulsa, OK
- NPI 1437639457
-
dba Harbor Medical Group
- Surgery Physician
- Aberdeen, WA
- NPI 1326217670
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Ardmore, OK
- NPI 1578906657
-
dba HarmonyCares Medical Group
- Family Medicine Physician
- Irving, TX
- NPI 1679510499
-
dba American Health Associates
- Physiological Laboratory
- Denver, CO
- NPI 1386355162
-
dba American Health Associates
- Physiological Laboratory
- Renton, WA
- NPI 1477261030
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Tulsa, OK
- NPI 1760914477
-
dba GHCH Hoquiam Clinic
- Obstetrics & Gynecology Physician
- Hoquiam, WA
- NPI 1134597693
-
- General Acute Care Hospital
- Ardmore, OK
- NPI 1386741635
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Laredo, TX
- NPI 1396731105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1548280464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1370 N INTERSTATE DR",
"address_2": "SUITE 154",
"city": "NORMAN",
"state": "OK",
"postal_code": "730723376",
"telephone_number": "918-421-6079",
"fax_number": "918-421-6077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S 8TH ST STE 182W",
"city": "MURRAY",
"state": "KY",
"postal_code": "420712444",
"telephone_number": "270-762-1560",
"fax_number": "270-752-2861"
}
],
"practiceLocations": [
{
"address_1": "4 E Clark Bass Blvd",
"address_2": "Suite 204",
"address_purpose": "LOCATION",
"city": "McAlester",
"state": "OK",
"postal_code": "745014269",
"country_code": "US",
"telephone_number": "918-421-6079",
"fax_number": "918-421-6077",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1211 Skyview Dr",
"address_purpose": "LOCATION",
"city": "Aberdeen",
"state": "WA",
"postal_code": "985201099",
"country_code": "US",
"telephone_number": "360-533-9830",
"fax_number": "360-533-8398",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOOSA",
"first_name": "YUNUS",
"middle_name": "ALI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "LA",
"license": "200765",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WA",
"license": "MD 60408489",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "P4487",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": "46683",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "WA",
"license": "MD 60408489",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "LA",
"license": "200765",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TX",
"license": "P4487",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "OK",
"license": "23782",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "OR",
"license": "MD212821",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00390466",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1584436",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2017560",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murray, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.