Individual provider Active NPI

India Marie Moon, CRNA

  • Certified Registered Nurse Anesthetist
  • Jefferson Hills, PA
National Provider Identifier
1811273832
Registry record updated Oct 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
89313 Issued in PA
Practice address
565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Phone
(412) 901-2576
NPI assigned
Oct 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 89313 PA Primary

Addresses

Primary practice location

565 Coal Valley Rd
Jefferson Hills, PA 15025-3703

Mailing address

565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Phone (412) 901-2576

Other practice location 1

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873
Phone (412) 942-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address imoon156998@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120319000097 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587823158 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1301 Carlisle St
Natrona Heights, PA 15065-1152
Phone (724) 226-7380

320 E N Ave
Pittsburgh, PA 15212-4756

565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Phone (412) 267-6901

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
89313PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince May 18, 2020 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince May 18, 2020 Accepting new patients
St Clair Anesthesiology Associates Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 4, 2012 Accepting new patients
Keystone Anesthesia Consultants, LTD CurrentSince Aug 1, 2015 Accepting new patients

Locations

565 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 469-5308

1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

490 E North Ave
Ste 107
Pittsburgh, PA 15212
Phone (412) 359-3376

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

750 E Beau St
Washington, PA 15301
Phone (724) 228-2982

Organizations & group practices 5

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.

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": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601769600000",
    "number": "1811273832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 COAL VALLEY RD",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253703",
            "telephone_number": "412-901-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 COAL VALLEY RD",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253703",
            "telephone_number": "412-901-2576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Bower Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152431873",
            "country_code": "US",
            "telephone_number": "412-942-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "INDIA",
        "middle_name": "MARIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "89313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "imoon156998@direct.ahn.org",
            "affiliation": "N",
            "address_1": "565 COAL VALLEY RD",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150253703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jefferson Hills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.