Individual provider Active NPI

Robert E. Moore, CRNA

  • Certified Registered Nurse Anesthetist
  • Austin, TX
National Provider Identifier
1609810167
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
054928 Issued in TX
Practice address
7900 FM 1826
Building 1
Austin, TX 78737-1407
Phone
(512) 924-9949
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 054928 TX Primary

Addresses

Primary practice location

7900 FM 1826
Building 1
Austin, TX 78737-1407

Mailing address

7900 FM 1826
Building 1
Austin, TX 78737-1407
Phone (512) 689-8974

Other identifiers 1

IdentifierTypeStateIssuer
110847401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050510000889 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517907496 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of New England, College of Osteo Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Ams PLLCGroup PAC ID 9133441769, 143 clinicians
El Paso Ams PLLCGroup PAC ID 9931520970, 87 clinicians

Practice addresses (Care Compare)

1801 N Oregon St
El Paso, TX 79902-3524
Phone (915) 595-9000

2000 Transmountain Rd
El Paso, TX 79911-3601
Phone (915) 577-8467

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
054928TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Val Verde Hospital Corporation Nurse Anesthetist, Certified Registered CurrentSince Feb 2, 2016 Accepting new patients
El Paso Ams, PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2020 Accepting new patients
Val Verde Hospital Corporation CurrentSince Feb 2, 2016 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2022 Accepting new patients
Val Verde Hospital Corporation Past Accepting new patients
South Austin Anesthesiology, PA Past Accepting new patients
Cardiovascular Anesthesiology,P.a. Past Accepting new patients

Locations

801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 703-1702

2000 Transmountain Rd
El Paso, TX 79911
Phone (915) 247-8893

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

Organizations & group practices 8

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 1

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1609810167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 FM 1826",
            "address_2": "BUILDING 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787371407",
            "telephone_number": "512-689-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 FM 1826",
            "address_2": "BUILDING 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787371407",
            "telephone_number": "512-924-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ROBERT",
        "middle_name": "E.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "054928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110847401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.