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DR. AERI MOON MD
NPI 1073603247
Pediatrics - Pediatric Gastroenterology in Palo Alto, CA

Active since October 16, 2006PECOS Enrolled
725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: March 29, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Aeri Moon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AERI MOON MD (NPI 1073603247) is an individual pediatric gastroenterology provider in Palo Alto, California, licensed in California (A53303) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073603247
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameDR. AERI MOONCredential: MD
Location Address725 WELCH RDPalo Alto, CA 94304-1601
Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000
Phone(650) 497-8000
Sole ProprietorNo
Enumeration DateOctober 16, 2006
Last NPPES UpdateMarch 29, 2019
✔ NPI 1073603247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses✔ Licensed in CA · A53303✔ Licensed in NY · 199562✔ Licensed in MA · 75763
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
725 WELCH RD, Palo Alto, CA 94304
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Aeri Moon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Aeri Moon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wyckoff Professional Medical Services, PC
2,572 mi
Internal Medicine
374 STOCKHOLM ST
Brooklyn, NY 11237
  • Reassigned Medicare billing, New York enrollment
  • 427 clinicians in this Medicare group
NPI 1659710796 (718) 963-6485
North Shore-Lij Medical PC
2,582 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EIRI INENAGA MS, OTR/L
Occupational Therapist (Pediatrics)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8218
WENDY LEIGH ADAMS ARNP
Nurse Practitioner (Neonatal)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
KEVIN WEI-HAN CHI MD
Pediatrics
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
ASHEEN RAMA MD
Anesthesiology (Pediatric Anesthesiology)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
CRYSTAL LEE MACKALL MD
Pediatrics (Pediatric Hematology-Oncology)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
KRISTI LYNNE O'CONNOR OT
Occupational Therapist
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
LAUREN GENNA ROOS NP
Nurse Practitioner
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
SHALINI MITTAL MD
Hospitalist
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aeri Moon's NPI number?

The NPI number for Aeri Moon is 1073603247. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Aeri Moon located?

Aeri Moon practices at 725 Welch Rd, Palo Alto, CA 94304. The listed phone number is (650) 497-8000.

What is Aeri Moon's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Aeri Moon enrolled in Medicare?

Yes. Aeri Moon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Aeri Moon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aeri Moon reassigns Medicare benefits to 2 organizations: Wyckoff Professional Medical Services, PC (Brooklyn, NY) and North Shore-Lij Medical PC (Great Neck, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Aeri Moon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Aeri Moon accept?

Health plans from Taro Health list Aeri Moon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Aeri Moon was last updated on March 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.