NPIMap

Individual provider Active NPI

Michael Douglas Moran, M.D.

  • Interventional Cardiology Physician
  • Laguna Niguel, CA
National Provider Identifier
1871564948
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A062602 Issued in CA
Practice address
30131 Town Center Dr Ste 211
Laguna Niguel, CA 92677-2088
Phone
(949) 297-8167
Fax
(949) 297-8350
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A62602 CA
Interventional Cardiology Physician 207RI0011X A062602 CA Primary

Addresses

Primary practice location

30131 Town Center Dr Ste 211
Laguna Niguel, CA 92677-2088

Mailing address

30131 Town Center Dr Ste 211
Laguna Niguel, CA 92677-2088
Phone (949) 297-8167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081030000015 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional RadiologyPractitioner - Other (Physician) 4789671744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30131 Town Ctr Dr
Suite 211
Laguna Niguel, CA 92677-2088
Phone (949) 297-8167

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.98 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
76.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
62602CAMDGeneral Practice Dentistry
A62602CAMDCardiovascular Disease Physician
A062602CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Private Practice Network Inc CurrentSince Jan 11, 2023 Accepting new patients
MD Solutions Medical Corp PastSince Jan 11, 2023 Accepting new patients
Coastal Cardiovascular Institute, Inc. Interventional Cardiology Past Accepting new patients

Locations

30230 Rancho Viejo Rd
Ste 110
San Juan Capo, CA 92675
Phone (949) 441-5681

Interoperability endpoints

  • Direct secure messaging: michael.moran.1@14021.direct.athenahealth.com

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1871564948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR STE 211",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772088",
            "telephone_number": "949-297-8167",
            "fax_number": "949-297-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR STE 211",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772088",
            "telephone_number": "949-297-8167",
            "fax_number": "949-297-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "MICHAEL",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A62602",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A062602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.