Individual provider Active NPI

Scott Alan Moore, MD

  • Interventional Cardiology Physician
  • San Antonio, TX
National Provider Identifier
1639149263
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
J8680 Issued in TX
Practice address
502 Madison Oak Dr
Suite 310
San Antonio, TX 78258-4084
Phone
(210) 483-8883
Fax
(210) 474-1470
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X J8680 TX Primary

Addresses

Primary practice location

502 Madison Oak Dr
Suite 310
San Antonio, TX 78258-4084

Mailing address

502 Madison Oak Dr
Suite 310
San Antonio, TX 78258-4084
Phone (210) 483-8883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110613000659 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6002093416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Vanderbilt University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

112 Herff Rd
Suite 310
Boerne, TX 78006-2750
Phone (210) 483-8883

16088 N US Hwy 281
San Antonio, TX 78232-2251
Phone (210) 483-8883

16088 San Pedro Ave
San Antonio, TX 78232-2251
Phone (210) 200-6744

26112 Overlook Pkwy
Suite 1100
San Antonio, TX 78260-6054
Phone (210) 497-2338

3011 W Loop 1604
San Antionio, TX 78251-3901
Phone (210) 681-6176

3011 W Loop 1604 N Access Rd
San Antonio, TX 78251-3901
Phone (866) 309-2873

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

5000 Baptist Health Dr
Schertz, TX 78154-1194

502 Madison Oak Dr
San Antonio, TX 78258-4084

520 Madison Oak Dr
San Antonio, TX 78258-3913
Phone (210) 297-4000

5430 Fredericksburg Rd
San Antonio, TX 78229-3539
Phone (210) 538-2301

5929 Broadway
San Antonio, TX 78209-5235
Phone (210) 657-2100

8715 Village Dr
San Antonio, TX 78217-5405
Phone (210) 798-4311

8811 Village Dr
San Antonio, TX 78217-5415

ICU-8715 Village Dr
Suite 616
San Antonio, TX 78217-5405
Phone (210) 655-3800

PO Box
Suite 5730
Belfast, ME 04915-5700

Hospital & facility affiliations

  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
  • Baptist Neighborhood Hospital Thousand Oaks Hospital, San Antonio, TX, CCN 670078

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Feb 18, 2011 Accepting new patients
BHS Physicians Network, Inc CurrentSince Feb 18, 2011 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

524 Singing Oaks
Ste 300
Bulverde, TX 78070
Phone (830) 214-1688

16088 San Pedro Ave
Ste 115
San Antonio, TX 78232
Phone (210) 200-6744

502 Madison Oak Dr
Ste 310
San Antonio, TX 78258
Phone (210) 483-0888

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

8811 Village Dr
San Antonio, TX 78217
Phone (210) 297-2000

Interoperability endpoints

  • Direct secure messaging: scott.moore.1@1438.direct.athenahealth.com

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 11

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1639149263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 MADISON OAK DR",
            "address_2": "SUITE 310",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584084",
            "telephone_number": "210-483-8883",
            "fax_number": "210-474-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 MADISON OAK DR",
            "address_2": "SUITE 310",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584084",
            "telephone_number": "210-483-8883",
            "fax_number": "210-474-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SCOTT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "J8680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.