Active NPI
May Anisa Moayad, D.O.
- Pediatrics Physician
- Fort Worth, TX
National Provider Identifier
1982068722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- T1467
- Practice address
- 2755 Miller Ave
Fort Worth, TX 76105-4164 - Phone
- (817) 534-7110
- Fax
- (817) 413-0521
- NPI assigned
- Apr 7, 2016
- Last updated
- Jul 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Pediatrics Physician | 208000000X | T1467 | TX | Primary |
| Pediatrics Physician | 208000000X | 312002 | LA |
Addresses
Primary practice location
2755 Miller Ave
Fort Worth, TX 76105-4164
Mailing address
PO Box 733784
Dallas, TX 75373-2429
Phone (682) 885-6483
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmoayad168416@CookChildrens.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Children's Physician Network | Pediatrics | Current | Accepting new patients |
| Cook Children's Physician Network | Pediatrics | Current | Accepting new patients |
| Ochsner Clinic LLC | Past | Accepting new patients | |
| Cook Children's Medical Center | Past | Accepting new patients |
Locations
2755 Miller Ave
Fort Worth, TX 76105
Phone (817) 534-7110
801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054
Interoperability endpoints
- mmoayad168416@cookchildrens.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1750369203
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1083472062
-
dba Cook Children's Behavioral Health
- Clinical Child & Adolescent Psychologist
- Fort Worth, TX
- NPI 1942509963
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1982068722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 733784",
"city": "DALLAS",
"state": "TX",
"postal_code": "753732429",
"telephone_number": "682-885-6483",
"fax_number": "682-885-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2755 MILLER AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761054164",
"telephone_number": "817-534-7110",
"fax_number": "817-413-0521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOAYAD",
"first_name": "MAY",
"middle_name": "ANISA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-07",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "T1467",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "312002",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmoayad168416@CookChildrens.direct-ci.com",
"affiliation": "N",
"address_1": "2755 Miller Ave",
"city": "Fort Worth",
"state": "TX",
"country_code": "US",
"postal_code": "761054164",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.