Susan C Moreno, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L9375 Issued in TX

Practice address

5315 Ross Ave
Dallas, TX 75206-7418

Phone

(214) 826-2151

Fax

(214) 826-2196

NPI assigned

May 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ronald N Skufca DO PAGroup PAC ID 8224009204, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Ronald N Skufca DO PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1558433250
  Medicare reassignment Care Compare group NPD
• Topcare Medical Group Inc

  • Specialist
  • Dallas, TX
  • NPI 1730337163
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1891906491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 ROSS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752067418",
            "telephone_number": "214-826-2151",
            "fax_number": "214-268-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 ROSS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752067418",
            "telephone_number": "214-826-2151",
            "fax_number": "214-826-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "SUSAN",
        "middle_name": "C",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L9375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Moreno, FNP-C
• Minerva G Moreno, LCSW
• Natalia Moreno, PA-C
• Robin Moreno, R.N., A.C.A.G.N.P.
• Stephanie Moreno, MD
• Yvonne Cesena Moreno, MD
• Ailyn Alexandra Morera, B.S.
• Allen Frank Morey, MD
• Johnathan Barnhart Morey VI, DPT
• Justin Thomas Morey

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.

Verify at the official NPI Registry.