Active NPI
Addi Nicolas Moya, MD
- Plastic and Reconstructive Surgery Physician
- Galveston, TX
National Provider Identifier
1679320923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- BP10089992
- Practice address
- 301 University Blvd
Galveston, TX 77555-0724 - Phone
- (409) 772-8119
- Fax
- (409) 772-1872
- NPI assigned
- May 3, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | BP10089992 | TX | Primary |
Addresses
Primary practice location
301 University Blvd
Galveston, TX 77555-0724
Mailing address
PO Box 650859
Dallas, TX 75265-0859
Phone (409) 772-8119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1679320923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650859",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650859",
"telephone_number": "409-772-8119",
"fax_number": "409-772-1872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775550724",
"telephone_number": "409-772-8119",
"fax_number": "409-772-1872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYA",
"first_name": "ADDI",
"middle_name": "NICOLAS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-03",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "TX",
"license": "BP10089992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Galveston, TX
- Paymon Behrooz Mosavi, M.D.
- Camilo Andres Mosquera Giraldo, DDS
- Motaz Albahra, MD. P.a., PLLC
- Prasant Moturu
- Jerry Ernest Mount, M.D.
- Amy Ann Mrazek, M.D., PH.D.
- MRC Edgewater (Edgewater Retirement Community)
- MRC Edgewater (Edgewater Home Health Services)
- MRC Edgewater (Turner Geriatric Center)
- Amir Nidal Mubarak Zeid, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.