Individual provider Active NPI

Megan Moran, PA-C

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1649655648
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085005513 Issued in IL
Practice address
3000 N Halsted St Ste 525
Chicago, IL 60657-9269
Phone
(773) 433-3130
Fax
(773) 433-3127
NPI assigned
Jul 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085005513 IL Primary

Addresses

Primary practice location

3000 N Halsted St Ste 525
Chicago, IL 60657-9269

Mailing address

3000 N Halsted St Ste 525
Chicago, IL 60657-9269
Phone (773) 433-3130

Other practice location 1

331 W Surf St Ste 6400
Chicago, IL 60657-7227
Phone (773) 433-3130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1649655648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST STE 525",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579269",
            "telephone_number": "773-433-3130",
            "fax_number": "773-433-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST STE 525",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579269",
            "telephone_number": "773-433-3130",
            "fax_number": "773-433-3127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 W Surf St Ste 6400",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606577227",
            "country_code": "US",
            "telephone_number": "773-433-3130",
            "fax_number": "773-433-3127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAN",
        "first_name": "MEGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085005513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.