Michael T Moran, MD
Individual provider Active NPI Family Medicine Physician · Covington, VA
NPI 1942397963 · NPPES record last updated Jun 12, 2024
Key facts
- NPI
- 1942397963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0101245560 (VA)
- Practice address
- 110 Lakewood LN
Covington, VA 24426-5717 - Phone
- (540) 969-4482
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Michumi PLLC
Practice addresses (Care Compare)
12997 Warwick Blvd
Newport News, VA 23602-8352
Phone (757) 369-9446
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090820000218 | VA | Practitioner - Family Practice |
4587718804 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301088631 | MI | MD | Family Medicine Physician |
| 0101245560 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care, PC - Virginia | Family Medicine | Current |
Accepting new patients |
| Roanoke Valley Healthcare Partners, LLC | Family Medicine | Current |
Accepting new patients |
| Carilion Medical Center | Current |
Accepting new patients | |
| Carilion Medical Center | Family Medicine | Current |
Accepting new patients |
| Medexpress Urgent Care, PC - Virginia | Family Medicine | Current |
Accepting new patients |
| Michumi PLLC | Current |
Accepting new patients | |
| Alleghany Hospitalists LLC | Past | Accepting new patients | |
| Oak Hill Emergency Physicians, LLC | Past | Accepting new patients | |
| United Emergency Services, Inc. | Past | Accepting new patients | |
| Peninsula Radiological Associates Limited | Past | Accepting new patients | |
| Blue Ridge Healthcare Partners, LLC | Past |
Accepting new patients | |
| Emergency Coverage, LLC | Family Medicine | Past | Accepting new patients |
Locations
4101 Dominion Blvd
Ste 300
Glen Allen, VA 23060
Phone (804) 747-5555
12731 Stone Village Way
Midlothian, VA 23113
Phone (804) 379-1500
12997 Warwick Blvd
Newport News, VA 23602
Phone (757) 369-3357
602 Brandon Ave SW
Ste 222
Roanoke, VA 24015
Phone (540) 774-0000
1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222
1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400
1336 W Main St
Salem, VA 24153
Phone (540) 389-0374
120 Monticello Ave
Williamsburg, VA 23185
Phone (757) 564-3627
600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200
423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101245560 | VA | Yes |
| Family Medicine Physician | 207Q00000X | 4301088631 | MI |
Addresses
Primary practice location
110 Lakewood LN
Covington, VA 24426-5717
Mailing address
110 Lakewood LN
Covington, VA 24426-5717
Phone (540) 969-4482
Other practice location 1
3370 Pump Rd
Richmond, VA 23233-1130
Phone (804) 360-8061
Other practice location 2
1840 E Market St
Harrisonburg, VA 22801-5100
Phone (540) 432-3080
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301088631 | Other | MI | STATE LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | VAExchange@patientfirstclinics.com |
Other providers in Covington, VA
- Sandra Lois McHenry
- Jeffrey Mason McWilliams
- Merryfield
- Mizpahlink International LLC
- Wanda Moore
- Moveallpro LLC
- Murray E Joiner Jr MD PC
- Brooke Gumm Nogueira
- Norma C Yu MD
- Jagadamba Pandit
All providers in Covington, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.