Individual provider Active NPI

Suresh C. Moonat, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1982688768
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E2748 Issued in TX
Practice address
17030 Nanes Dr
Ste 211
Houston, TX 77090-2503
Phone
(281) 440-5925
Fax
(281) 440-3324
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E2748 TX Primary

Addresses

Primary practice location

17030 Nanes Dr
Ste 211
Houston, TX 77090-2503

Mailing address

17030 Nanes Dr
Ste 211
Houston, TX 77090-2503
Phone (281) 440-5925

Other identifiers 1

IdentifierTypeStateIssuer
035642001MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110113000429 TX Practitioner - Family Practice 6406045012 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Moonat Medical Assoc Inc Family Medicine CurrentSince Oct 25, 2010 Accepting new patients

Locations

17030 Nanes Dr
Ste 211
Houston, TX 77090
Phone (281) 440-5925

2950 FM 2920 Rd
Ste 150
Spring, TX 77388
Phone (281) 440-5925

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1982688768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17030 NANES DR",
            "address_2": "STE 211",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902503",
            "telephone_number": "281-440-5925",
            "fax_number": "281-440-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17030 NANES DR",
            "address_2": "STE 211",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902503",
            "telephone_number": "281-440-5925",
            "fax_number": "281-440-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONAT",
        "first_name": "SURESH",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E2748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035642001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.