Individual provider Active NPI

Kurt Paul Moran, MD

  • Internal Medicine Physician
  • Scranton, PA
National Provider Identifier
1831214535
Registry record updated Aug 30, 2012
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Nov 20, 2023.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD040998L Issued in PA
Practice address
10 Greenridge Street
Suite#2
Scranton, PA 18509
Phone
(570) 585-6700
Fax
(570) 585-6714
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD040998L PA Primary
Pain Medicine Physician 208VP0000X MD040998L PA

Addresses

Primary practice location

10 Greenridge Street
Suite#2
Scranton, PA 18509

Mailing address

10 Green Ridge St
Suite#2
Scranton, PA 18509-1828
Phone (570) 585-6700

Other identifiers 9

IdentifierTypeStateIssuer
107989OtherPAMEDICARE
010081100OtherPAFEDERAL BLACK LUNG
001126OtherPAFIRST PRIORITY HEALTH
190878OtherPAPA BLUE CROSS PERSONAL CHOICE
190878OtherPAFDLIC FIRST PRIORITY LIFE
110136508OtherPARAILROAD MEDICARE
190878OtherPAPENNSYLVANIA BLUE SHIELD
001126OtherPACHAMPUS
507828OtherPAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Profesional Service, PC PastSince Jun 2, 2018 Accepting new patients
Whites Crossing Medical Group Inc Internal Medicine Past Accepting new patients
Mo Medical Management Inc. Past Accepting new patients

Organizations & group practices 3

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1831214535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GREEN RIDGE ST",
            "address_2": "SUITE#2",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091828",
            "telephone_number": "570-585-6700",
            "fax_number": "570-585-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GREENRIDGE STREET",
            "address_2": "SUITE#2",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18509",
            "telephone_number": "570-585-6700",
            "fax_number": "570-585-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "KURT",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD040998L",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "PA",
            "license": "MD040998L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "107989",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "010081100",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "001126",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE CROSS PERSONAL CHOICE",
            "identifier": "190878",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FDLIC FIRST PRIORITY LIFE",
            "identifier": "190878",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110136508",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA BLUE SHIELD",
            "identifier": "190878",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "001126",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "507828",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.