Angela Moccia, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA12999 Issued in TX

Practice address

4545 Heritage Trace Pkwy Ste 1500
Fort Worth, TX 76244-8938

Phone

(682) 683-2301

Fax

(813) 736-5446

NPI assigned

Aug 29, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amoccia1530253@direct.texashealth.org
• FHIR API: https://fhir4.healow.com/fhir/r4/EFBEDD/Endpoint/EFBEDD

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.

• Oncology-Hematology Consultants PA

  • Hematology & Oncology Physician
  • Fort Worth, TX
  • NPI 1629021159
  Medicare reassignment NPD
• RRR Hyperbarics 1

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Flower Mound, TX
  • NPI 1407278286
  Medicare reassignment
• RRR Hyperbarics 3 LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Fort Worth, TX
  • NPI 1871041913
  Medicare reassignment
• RRR Hyperbarics 4, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Lewisville, TX
  • NPI 1205367455
  Medicare reassignment
• Oncology Hematology Consultants, PA

  • Community/Retail Pharmacy
  • Irving, TX
  • NPI 1093296774
  NPD

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1659929933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5208 WOODGLEN LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761263065",
            "telephone_number": "913-426-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 HERITAGE TRACE PKWY STE 1500",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448938",
            "telephone_number": "682-683-2301",
            "fax_number": "813-736-5446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 W Mayfield Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760142084",
            "country_code": "US",
            "telephone_number": "817-333-3300",
            "fax_number": "817-759-7027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 W Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044611",
            "country_code": "US",
            "telephone_number": "817-759-7000",
            "fax_number": "817-759-7027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7230 Crawford Rd",
            "address_purpose": "LOCATION",
            "city": "Argyle",
            "state": "TX",
            "postal_code": "762262677",
            "country_code": "US",
            "telephone_number": "682-683-2301",
            "fax_number": "813-736-5446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4150 N Collins St",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760054547",
            "country_code": "US",
            "telephone_number": "682-683-2301",
            "fax_number": "813-736-5446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9990 Dallas Pkwy Ste 125",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750334137",
            "country_code": "US",
            "telephone_number": "682-683-2301",
            "fax_number": "813-736-5446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 Fm 544 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750564592",
            "country_code": "US",
            "telephone_number": "682-683-2301",
            "fax_number": "813-736-5446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3101 Churchill Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750222717",
            "country_code": "US",
            "telephone_number": "682-683-2301",
            "fax_number": "813-736-5446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOCCIA",
        "first_name": "ANGELA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA12999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Bart Mobley, DO
• Jonathan Mobley, PHARMD
• Trenton Mobley, CRNA
• Deborah Mobombo, PA-C
• Moc Fort Worth LLC
• Lisa Elaine Mocek, PT
• Ikenna Modebelu
• Vinai Modini Modem, MD
• Modern Cardiac Clinic PLLC
• Modern Recovery, LLC

• Surgical Physician Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.