Active NPI
Lariann Moreno, P.A.
- Surgical Physician Assistant
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA02721
- Practice address
- 7401 Main St
Houston, TX 77030-4509 - Phone
- (713) 799-2300
- Fax
- (833) 520-1440
- NPI assigned
- Aug 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA02721 | TX | |
| Family Medicine Physician | 207Q00000X | 02721 | TX | |
| Surgical Physician Assistant | 363AS0400X | PA02721 | TX | Primary |
Addresses
Primary practice location
7401 Main St
Houston, TX 77030-4509
Mailing address
7401 Main St
Houston, TX 77030-4509
Phone (713) 799-2300
Other practice location 1
11914 Astoria Blvd Ste 475
Houston, TX 77089-6078
Phone (713) 795-5056
Other practice location 2
3801 Vista Rd
Pasadena, TX 77504-2159
Phone (713) 844-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88N391 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
108 Twin Fountains Dr
Victoria, TX 77904-4203
Phone (361) 578-3363
1240 E Palm Valley Blvd
Round Rock, TX 78664-3202
Phone (512) 733-9100
16605 Southwest Fwy
Suite 550
Sugar Land, TX 77479-3792
Phone (281) 201-8818
3002 Sam Houston Dr
Victoria, TX 77904-2682
Phone (361) 578-5730
603 State Hwy 35 S
Port Lavaca, TX 77979-2411
Phone (361) 553-6400
6560 Fannin St
Suite 1760
Houston, TX 77030-2735
Phone (713) 795-5056
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02721 | TX | MD | Family Medicine Physician |
| PA02721 | TX | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ucp Physicians of Central Texas, PLLC | Current | Accepting new patients | |
| Ortholonestar, PLLC | Past | Accepting new patients | |
| Citizens Medical Center County of Victoria | Past | Accepting new patients | |
| Elite Care Medical Services Inc | Family Medicine | Past | Accepting new patients |
Locations
6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627
1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330
1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100
Interoperability endpoints
- lariann.morenopac.p6@direct.nextcare.nextgenshare.com
Organizations & group practices 6
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.
-
- Pain Medicine (Anesthesiology) Physician
- Sugar Land, TX
- NPI 1932211992
-
- Urgent Care Clinic/Center
- Georgetown, TX
- NPI 1922289412
-
- Urgent Care Clinic/Center
- Austin, TX
- NPI 1154472967
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
-
- Family Medicine Physician
- Houston, TX
- NPI 1740298868
-
- Prosthetic/Orthotic Supplier
- Houston, TX
- NPI 1538776927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1841291168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7401 MAIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304509",
"telephone_number": "713-799-2300",
"fax_number": "833-520-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7401 MAIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304509",
"telephone_number": "713-799-2300",
"fax_number": "833-520-1440"
}
],
"practiceLocations": [
{
"address_1": "11914 Astoria Blvd Ste 475",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770896078",
"country_code": "US",
"telephone_number": "713-795-5056",
"fax_number": "713-795-5096",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3801 Vista Rd",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "TX",
"postal_code": "775042159",
"country_code": "US",
"telephone_number": "713-844-2400",
"fax_number": "713-844-2470",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORENO",
"first_name": "LARIANN",
"name_prefix": "Ms.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA02721",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "02721",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "PA02721",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "88N391",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.