Individual provider Active NPI

Michelle Theresa Moran, MD

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1902880354
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36769 Issued in KY
Practice address
213 N Hurstbourne Pkwy
Louisville, KY 40222-5139
Phone
(502) 327-5135
Fax
(502) 327-9475
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36769 KY Primary

Addresses

Primary practice location

213 N Hurstbourne Pkwy
Louisville, KY 40222-5139

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 10

IdentifierTypeStateIssuer
000000545891OtherKYANTHEM
004163OtherKYSIHO
000023029SOtherKYHUMANA- NORTON
7100031130MedicaidKY
9340096OtherKYCIGNA- NORTON
200909270OtherINMEDICAID IN- NORTON CMA
50018435OtherKYPASSPORT- NORTON CMA
3500224000OtherKYPASSPORT ADVANTAGE- NORTON CMA- HURSTBOURNE
1902880354OtherNPI
200909270OtherKYMD WISE- NORTON CMA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mmoran5229@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20040409000159 KY Practitioner - Internal Medicine 4880687920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2008 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2008 Accepting new patients
Louisville East Primary Care Family Medicine PastSince Oct 1, 2001 Accepting new patients

Locations

1930 Bishop Ln
Ste 1017
Louisville, KY 40218
Phone (502) 272-5064

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

213 N Hurstbourne Pkwy
Louisville, KY 40222
Phone (502) 327-5135

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.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1902880354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N HURSTBOURNE PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225139",
            "telephone_number": "502-327-5135",
            "fax_number": "502-327-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "MICHELLE",
        "middle_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "36769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000545891",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "004163",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA- NORTON",
            "identifier": "000023029S",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100031130",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA- NORTON",
            "identifier": "9340096",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID IN- NORTON CMA",
            "identifier": "200909270",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT- NORTON CMA",
            "identifier": "50018435",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE- NORTON CMA- HURSTBOURNE",
            "identifier": "3500224000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902880354",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD WISE- NORTON CMA",
            "identifier": "200909270",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmoran5229@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "213 N Hurstbourne Pkwy",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402225139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "213 N Hurstbourne Pkwy",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402225139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.