Individual provider Active NPI

Mark Alan Moran, M.D.

  • Pain Medicine Physician
  • San Antonio, TX
National Provider Identifier
1881738219
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
M5388 Issued in TX
Practice address
4680 Lockhill Selma Rd Ste 200
San Antonio, TX 78249-2094
Phone
(210) 546-1470
Fax
(210) 546-1479
NPI assigned
Feb 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X M5388 TX Primary

Addresses

Primary practice location

4680 Lockhill Selma Rd Ste 200
San Antonio, TX 78249-2094

Mailing address

PO Box 33247
San Antonio, TX 78265-3247

Other practice location 1

10423 State Highway 151 Ste 103
San Antonio, TX 78251-4768
Phone (210) 546-1470

Other identifiers 3

IdentifierTypeStateIssuer
185110701MedicaidTX
185110704MedicaidTX
185110705MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070627000184 TX Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 7012016363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
University of Texas Medical School at San Antonio, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Pain Partners PLLCGroup PAC ID 3274061783, 23 clinicians

Practice addresses (Care Compare)

4680 Lockhill Selma Rd
Suite 200
San Antonio, TX 78249-2094
Phone (210) 546-1480

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Pain Partners PLLC Pain Medicine CurrentSince Nov 1, 2024 Accepting new patients
Texas Pain Partners PLLC Pain Medicine CurrentSince Nov 1, 2024 Accepting new patients

Locations

45 NE Loop 410
Ste 850
San Antonio, TX 78216

423 Treeline Park
Ste 325
San Antonio, TX 78209
Phone (210) 546-1460

3202 Cherry Ridge Dr
Ste 103
San Antonio, TX 78230
Phone (210) 441-4333

10423 State Highway 151
Ste 103
San Antonio, TX 78251
Phone (210) 546-1470

4680 Lockhill Selma Rd
Ste 200
Shavano Park, TX 78249
Phone (210) 546-1470

Organizations & group practices 2

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": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1881738219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33247",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782653247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4680 LOCKHILL SELMA RD STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492094",
            "telephone_number": "210-546-1470",
            "fax_number": "210-546-1479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10423 State Highway 151 Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514768",
            "country_code": "US",
            "telephone_number": "210-546-1470",
            "fax_number": "210-546-1479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAN",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-18",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "M5388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185110701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185110704",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185110705",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.