Active NPI
Jesus Alberto Moreno Munoz, M.D
- Pediatrics Physician
- Pine Bluff, AR
National Provider Identifier
1891134474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- W0964
- Practice address
- 1101 S Tennessee St
Jefferson Comprehensive Care System
Pine Bluff, AR 71601-5801 - Phone
- (870) 543-2380
- NPI assigned
- Jun 17, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | W0964 | TX | Primary |
| Pediatrics Physician | 208000000X | E-10074 | AR |
Addresses
Primary practice location
1101 S Tennessee St
Jefferson Comprehensive Care System
Pine Bluff, AR 71601-5801
Mailing address
11811 Farm to Market 1960 Rd
#100
Houston, TX 77065-3888
Phone (281) 970-2337
Other practice location 1
11811 Farm to Market 1960 Rd W
#100
Houston, TX 77065-3888
Phone (281) 970-2337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-10074 | AR | MD | Pediatrics Physician |
| W0964 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Comprehensive Care System, Inc | Single Specialty | Past | Accepting new patients |
| TCH Pediatric Associates, Inc | Single Specialty | Past | Accepting new patients |
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.
-
- Federally Qualified Health Center (FQHC)
- Pine Bluff, AR
- NPI 1154386597
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1891134474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11811 FARM TO MARKET 1960 RD",
"address_2": "#100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770653888",
"telephone_number": "281-970-2337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 S TENNESSEE ST",
"address_2": "JEFFERSON COMPREHENSIVE CARE SYSTEM",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716015801",
"telephone_number": "870-543-2380"
}
],
"practiceLocations": [
{
"address_1": "11811 Farm to Market 1960 Rd W",
"address_2": "#100",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770653888",
"country_code": "US",
"telephone_number": "281-970-2337",
"fax_number": "281-970-2318",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORENO MUNOZ",
"first_name": "JESUS",
"middle_name": "ALBERTO",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-17",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "W0964",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "AR",
"license": "E-10074",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.