NPIMap

Individual provider Active NPI

Eduardo Enrique Moreno, MD

  • Anesthesiology Physician
  • San Antonio, TX
National Provider Identifier
1780888362
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
M6782 Issued in TX
Practice address
400 Concord Plaza Dr Ste 200
San Antonio, TX 78216-6990
Phone
(210) 804-5400
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X BP1-0026969 TX
Anesthesiology Physician 207L00000X M6782 TX Primary

Addresses

Primary practice location

400 Concord Plaza Dr Ste 200
San Antonio, TX 78216-6990

Mailing address

45 NE Loop 410
Suite 900
San Antonio, TX 78216-5832
Phone (210) 375-7790

Other identifiers 1

IdentifierTypeStateIssuer
8BZ603OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090330000639 TX Practitioner - Anesthesiology 8426122797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical School at San Antonio, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The San Antonio Orthopaedic Group LLPGroup PAC ID 6800798794, 143 clinicians

Practice addresses (Care Compare)

400 Concord Plaza Dr
Suite 300
San Antonio, TX 78216-6991
Phone (210) 804-5400

Merit-based Incentive Payment System (MIPS)

Final score
79.86 of 100Reported as group
Quality
65.93
Promoting interoperability
94
Improvement activities
40
Cost
71.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP1-0026969TXMDAnesthesiology Physician
M6782TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The San Antonio Orthopaedic Group, LLP CurrentSince Jan 13, 2020 Accepting new patients
The San Antonio Orthopaedic Group, LLP CurrentSince Jan 13, 2020 Accepting new patients
Forest Country Anesthesia, P.C. Anesthesiology Past Accepting new patients
Plaza Anesthesia Consultants, PLLC Anesthesiology Past Accepting new patients
Plaza Anesthesia Group P.L.L.C. Anesthesiology Past Accepting new patients
Trinity Regional Medical Center Past Accepting new patients

Locations

400 Concord Plaza Dr
Ste 300
San Antonio, TX 78216
Phone (210) 804-5416

1200 Brooklyn Ave
Ste 320
San Antonio, TX 78212
Phone (210) 225-5741

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1780888362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 NE LOOP 410",
            "address_2": "SUITE 900",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165832",
            "telephone_number": "210-375-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CONCORD PLAZA DR STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166990",
            "telephone_number": "210-804-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "EDUARDO",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "BP1-0026969",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "M6782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8BZ603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.