1. Home
  2. Directory
  3. Texas
  4. Plano
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

AUSTIN MOORE DO
NPI 1093417669
Student in an Organized Health Care Education/Training Program in Plano, TX

Active since March 20, 2023PECOS Enrolled
3901 W 15TH ST STE 200, PLANO, TX 75075(682) 220-6959 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Austin Moore Do NPPES

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

AUSTIN MOORE DO (NPI 1093417669) is an individual student in an organized health care education/training program in Plano, Texas and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093417669
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameAUSTIN MOORECredential: DO
Location Address3901 W 15TH ST STE 200Plano, TX 75075-7738
Mailing Address3901 W 15th St Ste 200Plano, TX 75075-7738
Phone(682) 220-6959
Sole ProprietorYes
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 19, 2023
✔ NPI 1093417669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3901 W 15TH ST STE 200, Plano, TX 75075
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Austin Moore Do 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.

Other Providers at the Same Location NPPES 6

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

COLEMAN ALEXANDER ODLOZIL MD
Student in an Organized Health Care Education/Training Program
3901 W 15TH ST STE 200
PLANO, TX 75075
Collin County (972) 596-6800
RALEIGH DOUGLAS PAYTON
Student in an Organized Health Care Education/Training Program
3901 W 15TH ST STE 200
PLANO, TX 75075
Collin County (972) 596-6800
DR. COREY WAYNE NEWMAN DO
Student in an Organized Health Care Education/Training Program
3901 W 15TH ST STE 200
PLANO, TX 75075
Collin County (682) 220-6959
PHONG DUONG DO
Student in an Organized Health Care Education/Training Program
3901 W 15TH ST STE 200
PLANO, TX 75075
Collin County (682) 220-6959
MASON GRAHAM WORKMAN
Student in an Organized Health Care Education/Training Program
3901 W 15TH ST STE 200
PLANO, TX 75075
Collin County (682) 220-6959
DR. SAMUEL BAYLISS MD
Student in an Organized Health Care Education/Training Program
3901 W 15TH ST STE 200
PLANO, TX 75075
Collin County (682) 220-6959

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 Austin Moore's NPI number?

The NPI number for Austin Moore is 1093417669. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Austin Moore located?

Austin Moore practices at 3901 W 15th St Ste 200, Plano, TX 75075. The listed phone number is (682) 220-6959.

What is Austin Moore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Austin Moore enrolled in Medicare?

Yes. Austin Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Austin Moore was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.