Active NPI
Kurt Paul Moran, MD
- Internal Medicine Physician
- Scranton, PA
National Provider Identifier
1831214535
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.
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD040998L
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107989 | Other | PA | MEDICARE |
| 010081100 | Other | PA | FEDERAL BLACK LUNG |
| 001126 | Other | PA | FIRST PRIORITY HEALTH |
| 190878 | Other | PA | PA BLUE CROSS PERSONAL CHOICE |
| 190878 | Other | PA | FDLIC FIRST PRIORITY LIFE |
| 110136508 | Other | PA | RAILROAD MEDICARE |
| 190878 | Other | PA | PENNSYLVANIA BLUE SHIELD |
| 001126 | Other | PA | CHAMPUS |
| 507828 | Other | PA | AETNA |
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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Profesional Service, PC | Past | 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.
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- NPI 1083161970
-
- Internal Medicine Physician
- Carbondale, PA
- NPI 1649242660
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.