Individual provider Active NPI

Erik R Sloman-Moll

  • Otolaryngology Physician
  • Laredo, TX
National Provider Identifier
1700830221
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
K6333 Issued in TX
Practice address
10410 Medical Loop Unit 4B
Laredo, TX 78045-6612
Phone
(956) 795-8870
Fax
(956) 795-8384
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X K6333 TX Primary

Addresses

Primary practice location

10410 Medical Loop Unit 4B
Laredo, TX 78045-6612

Mailing address

10410 Medical Loop Unit 4B
Laredo, TX 78045-6612
Phone (956) 794-8870

Other identifiers 2

IdentifierTypeStateIssuer
102575104MedicaidTX
152677402MedicaidTX

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
I20110221000894 TX Practitioner - Otolaryngology 0941340020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Tufts University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10410 Medical Loop
BLDG 4B
Laredo, TX 78045-6672
Phone (956) 794-8870

Hospital & facility affiliations

  • Laredo Medical Center Hospital, Laredo, TX, CCN 450029
  • Doctors Hospital of Laredo Hospital, Laredo, TX, CCN 450643

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K6333TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erik Sloman-Moll, P.a. CurrentSince Jun 24, 2002 Accepting new patients

Locations

10410 Medical Loop
Bldg 4B
Laredo, TX 78045
Phone (956) 794-8870

Organizations & group practices 1

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 2

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1700830221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 MEDICAL LOOP UNIT 4B",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456612",
            "telephone_number": "956-794-8870",
            "fax_number": "956-795-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 MEDICAL LOOP UNIT 4B",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456612",
            "telephone_number": "956-795-8870",
            "fax_number": "956-795-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOMAN-MOLL",
        "first_name": "ERIK",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "K6333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102575104",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152677402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.