JUSTIN MCDONNELL MOHER MD
NPI 1386089928
Pediatrics - Pediatric Emergency Medicine in Houston, TX

Q: What is Justin Moher's NPI number?

The NPI number for Justin Moher is 1386089928. It was assigned to this individual provider in the NPPES registry on May 9, 2013.

Q: What is Justin Moher's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Justin Moher was last updated on August 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 09, 2013PECOS EnrolledAccepts Medicare Assignment

6621 FANNIN ST, HOUSTON, TX 77030(832) 824-1000 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 11, 2022, Jun 2, 2021, Jul 14, 2016 and 1 more (4 updates tracked since 2016).

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About Justin Mcdonnell Moher Md NPPES

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

JUSTIN MCDONNELL MOHER MD (NPI 1386089928) is an individual pediatric emergency medicine provider in Houston, Texas, licensed in Texas (R2418) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1386089928

Entity TypeIndividualMale

Primary Taxonomy2080P0204X

Provider Legal NameJUSTIN MCDONNELL MOHERCredential: MD

Location Address6621 FANNIN STHouston, TX 77030-2358

Mailing Address6621 Fannin St Ste A210Houston, TX 77030-2399 · (860) 918-1435 · Fax (832) 825-5426

Phone(832) 824-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMay 9, 2013

Last NPPES UpdateAugust 11, 20224 updates tracked since enumeration

NPPES CertifiedJuly 13, 2022

✔ NPI 1386089928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in TX · R2418

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License 286880 (MA), R2418 (TX)

Also ListedPediatricsTaxonomy 208000000X · License 286880 (MA), MD044138 (DC)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6621 FANNIN ST, Houston, TX 77030

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Secondary Practice Location 1

Location 1850 Harrison Ave # Menino1Boston, MA 02118-4001 · Phone (617) 414-4991 · Fax (617) 414-4999

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Mcdonnell Moher Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658668793

PECOS Enrollment IDI20231218002693

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.

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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.

DR. TAKETO BABA M.D.

Pediatrics (Pediatric Emergency Medicine)