Individual provider Active NPI

Michael T Moran, MD

  • Family Medicine Physician
  • Covington, VA
National Provider Identifier
1942397963
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101245560 Issued in VA
Practice address
110 Lakewood LN
Covington, VA 24426-5717
Phone
(540) 969-4482
NPI assigned
Oct 10, 2006
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101245560 VA Primary
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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VAExchange@patientfirstclinics.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20090820000218 VA Practitioner - Family PracticePractitioner - Emergency Medicine 4587718804 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michumi PLLCGroup PAC ID 5193784395, 40 clinicians

Practice addresses (Care Compare)

12997 Warwick Blvd
Newport News, VA 23602-8352
Phone (757) 369-9446

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301088631MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Aug 1, 2012 Accepting new patients
Medexpress Urgent Care, PC - Virginia Family Medicine CurrentSince Apr 1, 2023 Accepting new patients
Medexpress Urgent Care, PC - Virginia Family Medicine CurrentSince Apr 1, 2023 Accepting new patients
Michumi PLLC CurrentSince Jan 1, 2025 Accepting new patients
Roanoke Valley Healthcare Partners, LLC Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Carilion Medical Center Family Medicine CurrentSince Aug 1, 2012 Accepting new patients
Peninsula Radiological Associates Limited Past Accepting new patients
Bon Secours Urgent Care LLC Past Accepting new patients
United Emergency Services, Inc. Past Accepting new patients
Emergency Coverage, LLC Family Medicine Past Accepting new patients
Blue Ridge Healthcare Partners, LLC PastSince Oct 1, 2020 Accepting new patients
Alleghany Hospitalists LLC Past Accepting new patients
Oak Hill Emergency Physicians, LLC 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

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

602 Brandon Ave SW
Ste 222
Roanoke, VA 24015
Phone (540) 774-0000

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

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

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1942397963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LAKEWOOD LN",
            "city": "COVINGTON",
            "state": "VA",
            "postal_code": "244265717",
            "telephone_number": "540-969-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LAKEWOOD LN",
            "city": "COVINGTON",
            "state": "VA",
            "postal_code": "244265717",
            "telephone_number": "540-969-4482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3370 Pump Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232331130",
            "country_code": "US",
            "telephone_number": "804-360-8061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 E Market St",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "228015100",
            "country_code": "US",
            "telephone_number": "540-432-3080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAN",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101245560",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301088631",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "3370 Pump Rd",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232331130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Covington, VA

Sources for this page

Verify at the official NPI Registry.