Individual provider Active NPI

Aquilla B Moosani, M.D

  • Pediatrics Physician
  • Austin, TX
National Provider Identifier
1962512343
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J9223 Issued in TX
Practice address
1204 Shannon Oaks TRL Ste 307
Austin, TX 78746-7303
Phone
(512) 585-9621
NPI assigned
Aug 30, 2006
Last updated
Jul 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 15958528 TX
Pediatrics Physician 208000000X J9223 TX Primary

Addresses

Primary practice location

1204 Shannon Oaks TRL Ste 307
Austin, TX 78746-7303

Mailing address

13750 San Pedro Ave
Suite 560
San Antonio, TX 78232-4375
Phone (210) 561-3100

Other names 1

  • Aqila Iqbal Godil Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15958528TXMDDriver
J9223TXMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: amoosani425459@prddirect.texaschildrens.org

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1962512343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13750 SAN PEDRO AVE",
            "address_2": "SUITE 560",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324375",
            "telephone_number": "210-561-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 SHANNON OAKS TRL STE 307",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467303",
            "telephone_number": "512-585-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOSANI",
        "first_name": "AQUILLA",
        "middle_name": "B",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TX",
            "license": "15958528",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J9223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AQILA",
            "last_name": "GODIL",
            "middle_name": "IQBAL",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.