Individual provider Active NPI

Ana Lucia Moreno, M.D.

  • Internal Medicine Physician
  • The Dalles, OR
National Provider Identifier
1568889798
Registry record updated Oct 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD181199 Issued in OR
Practice address
1040 Webber St
The Dalles, OR 97058-3749
Phone
(541) 386-6380
NPI assigned
Mar 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD181199 OR Primary

Addresses

Primary practice location

1040 Webber St
The Dalles, OR 97058-3749

Mailing address

1040 Webber St
The Dalles, OR 97058-3749
Phone (541) 386-6380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20171004000958 OR Practitioner - Internal Medicine 9537380928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Washington School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Community HealthGroup PAC ID 6305759283, 51 clinicians

Practice addresses (Care Compare)

1040 Webber St
The Dalles, OR 97058-3749
Phone (541) 296-4610

Hospital & facility affiliations

  • Adventist Health Home Care Home health agency, The Dalles, OR, CCN 387041
  • Mid-Columbia Medical Center Hospital, The Dalles, OR, CCN 380001
  • Providence Hood River Memorial Hospital Hospital, Hood River, OR, CCN 381318
  • Klickitat Valley Hospital Hospital, Goldendale, WA, CCN 501316

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD181199ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Community Health CurrentSince Sep 1, 2017 Accepting new patients
One Community Health CurrentSince Sep 1, 2017 Accepting new patients
One Community Health Current Accepting new patients

Locations

849 Pacific Ave
Hood River, OR 97031
Phone (541) 386-6380

1040 Webber St
The Dalles, OR 97058
Phone (541) 296-4610

Interoperability endpoints

  • Direct secure messaging: amoreno215243@direct.ochin.org

Organizations & group practices 3

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 4

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": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1568889798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 WEBBER ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583749",
            "telephone_number": "541-386-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 WEBBER ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583749",
            "telephone_number": "541-386-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "ANA",
        "middle_name": "LUCIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD181199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Dalles, OR

Sources for this page

Verify at the official NPI Registry.