Active NPI
Jennifer L. Mooney, MD
- Trauma Surgery Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 205553
- Practice address
- 2710 Swiss Ave
Dallas, TX 75204-5900 - Phone
- (148) 211-5992
- Fax
- (214) 821-8985
- NPI assigned
- Jun 13, 2007
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 205553 | LA | |
| Surgery Physician | 208600000X | N7301 | TX | |
| Surgical Critical Care Physician | 2086S0102X | 205553 | LA | |
| Surgical Critical Care Physician | 2086S0102X | N7301 | TX | |
| Trauma Surgery Physician | 2086S0127X | N7301 | TX | |
| Trauma Surgery Physician | 2086S0127X | 205553 | LA | Primary |
Addresses
Primary practice location
2710 Swiss Ave
Dallas, TX 75204-5900
Mailing address
2710 Swiss Ave
Dallas, TX 75204-5900
Phone (214) 821-1599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2304178 | Medicaid | LA |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Texas Southwestern Medical School at Dallas, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2710 Swiss Ave
Dallas, TX 75204-5900
Phone (214) 821-1599
3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-0111
Hospital & facility affiliations
- Baylor University Medical Center
- Baylor Scott & White Medical Center- Waxahachie
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.87 of 100
- Quality
- 90.89
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.41 of 100
- Quality
- 88.72
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N7301 | TX | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Texas Critical Care PA | Current | Accepting new patients | |
| Urgent Surgery Associates, P.a. | Trauma Surgery | Current | Accepting new patients |
| Our Lady of the Lake Physician Group LLC | Surgery | Past | Accepting new patients |
| Baylor University Medical Center | Past | Accepting new patients |
Locations
621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600
2710 Swiss Ave
Dallas, TX 75204
Phone (214) 821-2303
3500 Gaston Ave
Dallas, TX 75246
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
Organizations & group practices 4
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Dallas, TX
- NPI 1265863542
-
- Trauma Surgery Physician
- Dallas, TX
- NPI 1326077082
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
- Hematology & Oncology Physician
- Baton Rouge, LA
- NPI 1184671455
Surgery
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waxahachie, TX
- NPI 1265430177
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540252800000",
"number": "1861696643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2710 SWISS AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752045900",
"telephone_number": "214-821-1599",
"fax_number": "214-821-8985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 SWISS AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752045900",
"telephone_number": "148-211-5992",
"fax_number": "214-821-8985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOONEY",
"first_name": "JENNIFER",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2018-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "205553",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "N7301",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "LA",
"license": "205553",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "TX",
"license": "N7301",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "TX",
"license": "N7301",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "LA",
"license": "205553",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2304178",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.