Active NPI
Sergio G Moreira Jr., M.D.
- Urology Physician
- Fort Walton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME89888
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T7744 | Other | FL | MEDICARE HF |
| 117574300 | Medicaid | FL |
Other names 1
- Sergio G Moreira
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX, AR, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Medical Center Hospital
- Cape Canaveral Hospital
- Viera Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME89888 | FL | MD | Urology Physician |
Practice roles (15 of 17)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Bernards Physician Clinics Inc | Current | Accepting new patients | |
| Nacogdoches County Hospital District | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| St Bernards Physician Clinics Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Nacogdoches County Hospital District | Urology | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| West Florida Internal Medicine LLC | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| St Bernards Physician Clinics Inc | Current | Accepting new patients | |
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | 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
- https://fhir-usa.unify.chbase.com/org/seminol-3b162432
- smoreira248751@christushealth.direct-ci.net
- 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.
-
- Obstetrics & Gynecology Physician
- Nacogdoches, TX
- NPI 1053711804
TX, Urology
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
- Orthopaedic Surgery Physician
- Melbourne, FL
- NPI 1831738392
-
- Orthopaedic Surgery Physician
- Melbourne, FL
- NPI 1932748423
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Internal Medicine Physician
- Pensacola, FL
- NPI 1679555833
-
- Rehabilitation Hospital
- Nacogdoches, TX
- NPI 1780612754
-
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
Hospital
-
- Federally Qualified Health Center (FQHC)
- Odessa, TX
- NPI 1578265302
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.