Organization Active NPI

Moreau Orthopaedics PLLC

  • Orthopaedic Surgery Physician
  • Laredo, TX
National Provider Identifier
1871154732
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MOREAU ORTHOPAEDICS PLLC
Practice address
1710 E Saunders St Ste B440
Laredo, TX 78041-5574
Phone
(956) 724-5666
Fax
(956) 724-5693
NPI assigned
Jun 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Authorized official

Name
Yvel Pascal Moreau, MDNPI 1558330761
Title
Ceo
Phone
(956) 724-5666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1710 E Saunders St Ste B440
Laredo, TX 78041-5574

Mailing address

1710 E Saunders St Ste B440
Laredo, TX 78041-5574
Phone (956) 724-5666

Other identifiers 2

IdentifierTypeStateIssuer
464099OtherMEDICARE
170387804MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190711002740 TX Part B Supplier - Clinic/Group Practice 4385979400 Receives reassigned benefits from 1 practitioner
Practice locations: Laredo, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1871154732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 E SAUNDERS ST STE B440",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415574",
            "telephone_number": "956-724-5666",
            "fax_number": "956-724-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 E SAUNDERS ST STE B440",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415574",
            "telephone_number": "956-724-5666",
            "fax_number": "956-724-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOREAU ORTHOPAEDICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "MOREAU",
        "authorized_official_first_name": "YVEL",
        "authorized_official_middle_name": "PASCAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "956-724-5666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "464099",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170387804",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.