Individual provider Active NPI

Lariann Moreno, P.A.

  • Surgical Physician Assistant
  • Houston, TX
National Provider Identifier
1841291168
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA02721 Issued in TX
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

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
88N391OtherTXBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110816000048 TX Practitioner - Physician Assistant 8022287630 Reassigns benefits to 2 organizations

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
Ucp Physicians of Central Texas, PLLCGroup PAC ID 3173697935, 99 clinicians
Texas Pain Consultants LLPGroup PAC ID 3173583481, 4 clinicians

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

LicenseStateTypeSpecialty
02721TXMDFamily Medicine Physician
PA02721TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ucp Physicians of Central Texas, PLLC CurrentSince Mar 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.