Active NPI
Iffat Mohammadi Moinuddin, P.A.-C
- Physician Assistant
- Edinburg, TX
National Provider Identifier
1730319187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA06319
- Practice address
- 5007 S McColl Rd
Edinburg, TX 78539-8080 - Phone
- (956) 587-0555
- Fax
- (956) 587-0550
- NPI assigned
- Jul 20, 2009
- Last updated
- Sep 22, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA06319 | TX | Primary |
| Medical Physician Assistant | 363AM0700X | PA06319 | TX |
Addresses
Primary practice location
5007 S McColl Rd
Edinburg, TX 78539-8080
Mailing address
5007 S McColl Rd
Edinburg, TX 78539-8080
Phone (956) 587-0555
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA06319 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Kids Care, P.a. | Physician Assistant | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442880000000",
"number": "1730319187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5007 S MCCOLL RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785398080",
"telephone_number": "956-587-0555",
"fax_number": "956-587-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5007 S MCCOLL RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785398080",
"telephone_number": "956-587-0555",
"fax_number": "956-587-0550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOINUDDIN",
"first_name": "IFFAT",
"middle_name": "MOHAMMADI",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-20",
"last_updated": "2015-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA06319",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA06319",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.