Active NPI
Melanie Moises, DO
- Military Health Care Provider
- San Antonio, TX
National Provider Identifier
1790312148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- License
- OS19367
- Practice address
- 3551 Roger Brooke Dr
San Antonio, TX 78234-4504 - Phone
- (210) 916-4854
- NPI assigned
- Mar 25, 2020
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10091326 | TX | |
| Military Health Care Provider | 171000000X | OS19367 | FL | Primary |
Addresses
Primary practice location
3551 Roger Brooke Dr
San Antonio, TX 78234-4504
Mailing address
3551 Roger Brooke Dr
San Antonio, TX 78234-4504
Other practice location 1
180 JFK Dr Ste 210
Atlantis, FL 33462-6641
Phone (561) 548-1450
Other practice location 2
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (757) 953-2339
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS19367 | FL | MD | Military Health Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1790312148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782344504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-916-4854"
}
],
"practiceLocations": [
{
"address_1": "180 JFK Dr Ste 210",
"address_purpose": "LOCATION",
"city": "Atlantis",
"state": "FL",
"postal_code": "334626641",
"country_code": "US",
"telephone_number": "561-548-1450",
"fax_number": "561-548-1459",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "620 John Paul Jones Cir",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "VA",
"postal_code": "237082111",
"country_code": "US",
"telephone_number": "757-953-2339",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOISES",
"first_name": "MELANIE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-25",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10091326",
"primary": false
},
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "FL",
"license": "OS19367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.