AVERY MOORE PA
NPI 1174480123
Physician Assistant - Surgical in Houston, TX
About Avery Moore Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVERY MOORE PA (NPI 1174480123) is an individual surgical provider in Houston, Texas, licensed in Texas (PA20696) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Avery Moore Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOUSTON, TX 77094
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 Avery Moore's NPI number?
The NPI number for Avery Moore is 1174480123. It was assigned to this individual provider in the NPPES registry on January 9, 2026.
Where is Avery Moore located?
Avery Moore practices at 18885 Katy Fwy, Houston, TX 77094. The listed phone number is (281) 892-2000.
What is Avery Moore's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Avery Moore enrolled in Medicare?
Yes. Avery Moore is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Avery Moore was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.
# Avery Moore, PA · NPI 1174480123
Surgical physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since January 9, 2026.
## Identity
- **NPI:** 1174480123 (Entity type: Individual)
- **Enumerated:** January 9, 2026
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA20696 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 18885 KATY FWY, Houston, TX 77094-1103
- **Phone:** (281) 892-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1174480123) · Data from the CMS NPPES public registry.