Individual provider Active NPI

Aaron Thomas Moon, M.D.

  • Diagnostic Radiology Physician
  • Corpus Christi, TX
National Provider Identifier
1922264571
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
P3777 Issued in TX
Practice address
1812 S Alameda St
Corpus Christi, TX 78404-2933
Phone
(361) 887-7000
Fax
(361) 561-3185
NPI assigned
Aug 4, 2008
Last updated
Oct 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X P3777 TX Primary

Addresses

Primary practice location

1812 S Alameda St
Corpus Christi, TX 78404-2933

Mailing address

1812 S Alameda St
Corpus Christi, TX 78404-2933
Phone (361) 887-7000

Other practice location 1

2000 Dr N W Atkinson Blvd Ste 801
Alice, TX 78332-4241
Phone (361) 887-7000

Other practice location 2

1776 Billy G Webb
Portland, TX 78374-3706
Phone (361) 887-7000

Other practice location 3

3929 River East Dr
Corpus Christi, TX 78410-5101
Phone (361) 887-7000

Other practice location 4

5742 Spohn Dr
Corpus Christi, TX 78414-4116
Phone (361) 887-7000

Other identifiers 1

IdentifierTypeStateIssuer
321006401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ID, WY, UT4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20130709000651 TX Practitioner - Diagnostic Radiology 4880834134 Reassigns benefits to 3 organizations
I20240513003215 ID Practitioner - Diagnostic Radiology 4880834134 Reassigns benefits to 5 organizations
I20240926001026 WY Practitioner - Diagnostic Radiology 4880834134 Reassigns benefits to 2 organizations
I20250113002038 UT Practitioner - Diagnostic Radiology 4880834134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at San Antonio, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Teton Radiology Madison LLCGroup PAC ID 6901958024, 40 clinicians
Memorial Hospital of Carbon CountyGroup PAC ID 9638067176, shared by 3 NPIs, 38 clinicians

Practice addresses (Care Compare)

2001 S Woodruff Ave
Suite 17
Idaho Falls, ID 83404-6372
Phone (208) 524-7237

2001 Woodbend Dr
Corpus Christi, TX 78412-4509
Phone (208) 356-4888

2001 Woodbend Dr
Apt 2003
Corpus Christi, TX 78412-4703
Phone (208) 522-3017

2221 Elm St
Rawlins, WY 82301-5108
Phone (307) 324-2221

425 E 4TH
Rexburg, ID 83440-5390
Phone (208) 356-4888

777 Hospital Way
Pocatello, ID 83201-5175
Phone (208) 715-5220

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
86.33
Improvement activities
40
Cost
88.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P3777TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Teton Radiology Diagnostic a Series of Teton Group Enterprise Diagnostic Radiology CurrentSince Jun 12, 2024 Accepting new patients
Elevation Medical Imaging Evanston CurrentSince May 1, 2024 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Jul 11, 2024 Accepting new patients
Teton Radiology Caldwell Diagnostic Radiology CurrentSince Jul 13, 2024 Accepting new patients
Teton Radiology Madison LLC CurrentSince Jun 1, 2024 Accepting new patients
Teton Vascular Institute of Pocatello a Series of Teton Group CurrentSince Jul 1, 2024 Accepting new patients
Memorial Hospital of Carbon County Family Medicine Current Accepting new patients
Memorial Hospital of Carbon County CurrentSince Jul 11, 2024 Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Diagnostic Radiology CurrentSince Jun 3, 2024 Accepting new patients
Cache Valley Vein CurrentSince Dec 1, 2024 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology PastSince Jul 1, 2014 Accepting new patients

Locations

4519 Enterprise Way
Caldwell, ID 83605
Phone (208) 454-4960

2001 S Woodruff Ave
Ste 17
Idaho Falls, ID 83404
Phone (208) 524-7237

3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100

444 Hospital Way
Ste 111
Pocatello, ID 83201

777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000

425 E 4th N
Rexburg, ID 83440

565 W 465 N
Ste 130
Providence, UT 84332
Phone (208) 552-8579

2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221

300 3rd St
Rawlins, WY 82301
Phone (307) 324-3403

Organizations & group practices 11

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1922264571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 S ALAMEDA ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042933",
            "telephone_number": "361-887-7000",
            "fax_number": "361-561-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 S ALAMEDA ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042933",
            "telephone_number": "361-887-7000",
            "fax_number": "361-561-3185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Dr N W Atkinson Blvd Ste 801",
            "address_purpose": "LOCATION",
            "city": "Alice",
            "state": "TX",
            "postal_code": "783324241",
            "country_code": "US",
            "telephone_number": "361-887-7000",
            "fax_number": "361-561-3185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1776 Billy G Webb",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "TX",
            "postal_code": "783743706",
            "country_code": "US",
            "telephone_number": "361-887-7000",
            "fax_number": "361-561-3185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3929 River East Dr",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784105101",
            "country_code": "US",
            "telephone_number": "361-887-7000",
            "fax_number": "361-561-3185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5742 Spohn Dr",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784144116",
            "country_code": "US",
            "telephone_number": "361-887-7000",
            "fax_number": "361-561-3185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "AARON",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "P3777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321006401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.