Individual provider Active NPI

Sergio G Moreira Jr., M.D.

  • Urology Physician
  • Fort Walton Beach, FL
National Provider Identifier
1790735918
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME89888 Issued in FL
Practice address
320 Racetrack Rd NW Ste 100C
Fort Walton Beach, FL 32547-1796
Phone
(850) 863-3463
Fax
(850) 862-0188
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X M8184 TX
Urology Physician 208800000X ME89888 FL Primary

Addresses

Primary practice location

320 Racetrack Rd NW Ste 100C
Fort Walton Beach, FL 32547-1796

Mailing address

320 Racetrack Rd NW Ste 100C
Fort Walton Beach, FL 32547-1796
Phone (850) 863-3463

Other practice location 1

701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3585
Phone (321) 868-5871

Other identifiers 2

IdentifierTypeStateIssuer
T7744OtherFLMEDICARE HF
117574300MedicaidFL

Other names 1

  • Sergio G Moreira Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, AR, PA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20050830000135 FL Practitioner - Urology 5395776355 Reassigns benefits to 2 organizations
I20080729000287 TX Practitioner - Urology 5395776355 Reassigns benefits to 1 organization
I20150716002689 AR Practitioner - Urology 5395776355 Reassigns benefits to 1 organization
I20251210002348 PA Practitioner - Urology 5395776355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Medical Group, LLC 701 clinicians

Practice addresses (Care Compare)

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401

1425 Malabar Rd NE
Palm Bay, FL 32907-2506
Phone (321) 434-8121

699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3562

701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3585
Phone (321) 799-7128

8745 N Wickham Rd
Melbourne, FL 32940-5997
Phone (321) 434-5162

Hospital & facility affiliations

  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Medical Center Hospital Hospital, Odessa, TX, CCN 450132
  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME89888FLMDUrology Physician

Practice roles (15 of 17)

OrganizationSpecialtyStatusNew patients
St Bernards Physician Clinics Inc Current Accepting new patients
Nacogdoches County Hospital District CurrentSince Jul 1, 2016 Accepting new patients
Pinnacle Health Medical Services CurrentSince Nov 1, 2025 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Jan 1, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Mar 25, 2024 Accepting new patients
Salem Health Current Accepting new patients
Health First Medical Group, LLC CurrentSince Jan 27, 2025 Accepting new patients
Nacogdoches County Hospital District Urology CurrentSince Jul 1, 2016 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Mar 25, 2024 Accepting new patients
West Florida Internal Medicine LLC CurrentSince Jan 15, 2023 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Jan 1, 2023 Accepting new patients
Health First Medical Group, LLC CurrentSince Jan 27, 2025 Accepting new patients
Pinnacle Health Medical Services CurrentSince Nov 1, 2025 Accepting new patients
Tod Fusia & Mark Swierz Urology Past Accepting new patients

Locations

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

303 E Matthews Ave
Ste 100
Jonesboro, AR 72401
Phone (870) 207-2926

701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931
Phone (321) 799-7111

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

320 Racetrack Rd NW
Ste 100C
Fort Walton Beach, FL 32547
Phone (850) 863-0883

2400 N Orange Blossom Trl
Ste 102
Kissimmee, FL 34744
Phone (407) 944-4947

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1320 N University Dr
Ste A
Nacogdoches, TX 75961
Phone (936) 560-5200

1018 N Mound St
Ste 205
Nacogdoches, TX 75961
Phone (936) 560-0707

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/seminol-3b162432
  • Direct secure messaging: smoreira248751@christushealth.direct-ci.net
  • Direct secure messaging: smoreira28459@epicdirect.hf.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 6

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1790735918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 RACETRACK RD NW STE 100C",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471796",
            "telephone_number": "850-863-3463",
            "fax_number": "850-862-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 RACETRACK RD NW STE 100C",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471796",
            "telephone_number": "850-863-3463",
            "fax_number": "850-862-0188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 W Cocoa Beach Cswy",
            "address_purpose": "LOCATION",
            "city": "Cocoa Beach",
            "state": "FL",
            "postal_code": "329313585",
            "country_code": "US",
            "telephone_number": "321-868-5871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOREIRA",
        "first_name": "SERGIO",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "M8184",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME89888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HF",
            "identifier": "T7744",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117574300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SERGIO",
            "last_name": "MOREIRA",
            "middle_name": "G",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.