NPIMap

Individual provider Active NPI

Jose G Moreno, MD

  • Urology Physician
  • Pottstown, PA
National Provider Identifier
1699768184
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD045118L Issued in PA
Practice address
20 Sunnybrook Rd
Pottstown, PA 19464-3213
Phone
(610) 323-5550
Fax
(610) 327-4651
NPI assigned
Aug 30, 2005
Last updated
Apr 12, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD045118L PA Primary

Addresses

Primary practice location

20 Sunnybrook Rd
Pottstown, PA 19464-3213

Mailing address

20 Sunnybrook Road
Pottstown, PA 19464-3213
Phone (610) 323-5550

Other identifiers 1

IdentifierTypeStateIssuer
0015309050002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071130000273 PA Practitioner - Urology 8628007697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Southern California Keck School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

20 N Sunnybrook Rd
Academic Urology Pottstown
Pottstown, PA 19464-2946
Phone (610) 323-5550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.14 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
67.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physician Services, PC Urology CurrentSince Apr 20, 2017 Accepting new patients
Alliance Physician Services, PC Urology CurrentSince Apr 20, 2017 Accepting new patients
Alliance Physician Services, PC Urology Current Accepting new patients
Tri County Urologic Associates, P.C. Urology Past Accepting new patients

Locations

919 Conestoga Rd
Bldg 1
Bryn Mawr, PA 19010
Phone (610) 525-6400

211 S Gulph Rd
Ste 200
Kng of Prussa, PA 19406
Phone (610) 382-5910

824 Main St
Ste 301
Phoenixville, PA 19460
Phone (215) 935-9010

20 N Sunnybrook Rd
Pottstown, PA 19464
Phone (610) 323-5550

656 E Swedesford Rd
Ste 120
Wayne, PA 19087
Phone (610) 273-5320

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1699768184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SUNNYBROOK ROAD",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643213",
            "telephone_number": "610-323-5550",
            "fax_number": "610-327-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SUNNYBROOK RD",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643213",
            "telephone_number": "610-323-5550",
            "fax_number": "610-327-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "JOSE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD045118L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015309050002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.