Individual provider Active NPI

Timothy Patrick Moran, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Houston, TX
National Provider Identifier
1639313513
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
T3340 Issued in TX
Practice address
10490 Huffmeister Rd Ste B
Houston, TX 77065-5654
Phone
(832) 280-5447
NPI assigned
Apr 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 206768 LA
Student in an Organized Health Care Education/Training Program 390200000X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X T3340 TX Primary

Addresses

Primary practice location

10490 Huffmeister Rd Ste B
Houston, TX 77065-5654

Mailing address

10490 Huffmeister Rd Ste B
Houston, TX 77065-5654
Phone (832) 280-5447

Other practice location 1

105 Zeid Blvd Bldg 2
Henderson, TX 75652-6070
Phone (903) 315-5612

Other practice location 2

619 S Fleishel Ave Ste 327
Tyler, TX 75701-2019
Phone (903) 606-1173

Other practice location 3

1327 Troup Hwy
Tyler, TX 75701-4443
Phone (903) 606-4848

Other identifiers 1

IdentifierTypeStateIssuer
206768OtherLASTATE LICENSE

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231117001370 TX Practitioner - Endocrinology 4082838032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

105 Zeid Blvd
Henderson, TX 75652-6070
Phone (903) 595-2283

1302 N Pacific St
Christus Trinity Clinic
Mineola, TX 75773-1022
Phone (903) 569-5383

1327 Troup Hwy
Tyler, TX 75701-4443
Phone (903) 510-8764

18780 Interstate 20
Canton, TX 75103-3593
Phone (903) 567-4841

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

800 E Dawson St
Christus Trinity Clinic
Tyler, TX 75701-2036
Phone (903) 510-1186

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206768LAMDEndocrinology, Diabetes & Metabolism Physician
T3340TXMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Endocrinology, Diabetes & Metabolism CurrentSince Jan 2, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 2, 2024 Accepting new patients

Locations

105 Zeid Blvd
Bldg 2
Henderson, TX 75652
Phone (903) 315-5612

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

1327 Troup Hwy
Tyler, TX 75701
Phone (903) 510-8764

619 S Fleishel Ave
Ste 327
Tyler, TX 75701
Phone (903) 510-1173

Interoperability endpoints

  • Direct secure messaging: tmoran343892@christushealth.direct-ci.net

Organizations & group practices 2

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 5

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": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1639313513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10490 HUFFMEISTER RD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655654",
            "telephone_number": "832-280-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10490 HUFFMEISTER RD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655654",
            "telephone_number": "832-280-5447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Zeid Blvd Bldg 2",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "TX",
            "postal_code": "756526070",
            "country_code": "US",
            "telephone_number": "903-315-5612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "619 S Fleishel Ave Ste 327",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012019",
            "country_code": "US",
            "telephone_number": "903-606-1173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1327 Troup Hwy",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757014443",
            "country_code": "US",
            "telephone_number": "903-606-4848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAN",
        "first_name": "TIMOTHY",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-23",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "LA",
            "license": "206768",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "T3340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "206768",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.