Individual provider Active NPI

Yunus Ali Moosa, M.D.

  • Cardiovascular Disease Physician
  • Murray, KY
National Provider Identifier
1548280464
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
46683 Issued in KY
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00390466OtherLARR MEDICARE
1584436MedicaidLA
2017560MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, LA, WA, TX, MS, GA6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20040712001233 OK Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3072591494 Reassigns benefits to 3 organizations
I20061010000625 LA Practitioner - Cardiovascular Disease (Cardiology) 3072591494 Reassigns benefits to 1 organization
I20131101001179 WA Practitioner - Cardiovascular Disease (Cardiology) 3072591494 Reassigns benefits to 1 organization
I20151229002102 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3072591494 Reassigns benefits to 2 organizations
I20170209000657 MS Practitioner - Cardiovascular Disease (Cardiology) 3072591494
I20180622002052 GA Practitioner - Cardiovascular Disease (Cardiology) 3072591494

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laredo Physicians GroupGroup PAC ID 1355582461, 22 clinicians
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

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

ProcedureNumber of procedures
Coronary angioplasty and stenting11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200765LAMDInterventional Cardiology Physician
23782OKMDInterventional Cardiology Physician
MD 60408489WAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grays Harbor Community Hospital CurrentSince May 21, 2019 Accepting new patients
Baton Rouge Cardiology Center Cardiovascular Disease CurrentSince Apr 26, 2009 Accepting new patients
GHCH Physician Services, LLC Cardiovascular Disease CurrentSince May 21, 2019 Accepting new patients
American Health W LLC CurrentSince Feb 15, 2024 Accepting new patients
Mercy Hospital Ardmore, Inc. CurrentSince Nov 9, 2022 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Oct 1, 2019 Accepting new patients
Cura Telehealth and Wellness, P.a. CurrentSince Nov 17, 2020 Accepting new patients
American Health W LLC CurrentSince Feb 15, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 5, 2021 Accepting new patients
Mercy Hospital Ardmore, Inc Cardiovascular Disease CurrentSince Nov 9, 2022 Accepting new patients
Laredo Physicians Group CurrentSince Aug 21, 2023 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Contract X-Ray Services, Inc. CurrentSince Dec 26, 2023 Accepting new patients
Precision Ultrasound Imaging Inc. CurrentSince May 16, 2018 Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 5, 2021 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

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/OHI/api/FHIR/R4
  • Direct secure messaging: ymoosa1036117@directc.mercy.net
  • Direct secure messaging: yunus.moosa.1@9964.direct.athenahealth.com
  • Direct secure messaging: 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.

View all 25

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": "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

Verify at the official NPI Registry.