Individual provider Active NPI

Paula Hayan Moon

  • Medical Physician Assistant
  • Nottingham, MD
National Provider Identifier
1902779887
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0010179 Issued in MD
Practice address
8100 Sandpiper Cir
Nottingham, MD 21236-4991
Phone
(410) 918-0777
NPI assigned
Sep 26, 2025
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0010179 MD Primary

Addresses

Primary practice location

8100 Sandpiper Cir
Nottingham, MD 21236-4991

Mailing address

2308 Lily CT
Bel Air, MD 21015-6386
Phone (443) 206-8280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251205001337 MD Practitioner - Physician Assistant 9234622416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctors First, LLCGroup PAC ID 3870661978, 58 clinicians

Practice addresses (Care Compare)

8100 Sandpiper Cir
Suite 308
Nottingham, MD 21236-4992
Phone (410) 918-0777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0010179MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors First, LLC CurrentSince Nov 24, 2025 Accepting new patients
Doctors First, LLC Past Accepting new patients

Locations

8600 Snowden River Pkwy
Ste 207
Columbia, MD 21045
Phone (301) 595-2901

8100 Sandpiper Cir
Ste 308
Nottingham, MD 21236
Phone (410) 918-0777

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1902779887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 LILY CT",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156386",
            "telephone_number": "443-206-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 SANDPIPER CIR",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364991",
            "telephone_number": "410-918-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "PAULA",
        "middle_name": "HAYAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0010179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

Verify at the official NPI Registry.