DR. THEODORE MOONCAI MD
NPI 1407387632
Emergency Medicine in Boston, MA
About Dr. Theodore Mooncai Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THEODORE MOONCAI MD (NPI 1407387632) is an individual emergency medicine provider in Boston, Massachusetts, licensed in Massachusetts (AF4228690-0039) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted 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. Theodore Mooncai Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Theodore Mooncai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lowell, MA 01854
- Reassigned Medicare billing, Massachusetts enrollment
- 49 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
BOSTON, MA 02118
BOSTON, MA 02118
BOSTON, MA 02118
BOSTON, MA 02118
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 Theodore Mooncai's NPI number?
The NPI number for Theodore Mooncai is 1407387632. It was assigned to this individual provider in the NPPES registry on March 21, 2017.
Where is Theodore Mooncai located?
Theodore Mooncai practices at 1 Boston Medical Ctr Pl, Boston, MA 02118. The listed phone number is (617) 414-4929.
What is Theodore Mooncai's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Theodore Mooncai enrolled in Medicare?
Yes. Theodore Mooncai is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Theodore Mooncai's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Mooncai reassigns Medicare benefits to Merrimack Valley Emergency Associates, Inc. (Lowell, MA). The 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 Theodore Mooncai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theodore Mooncai accept?
Health plans from WellSense Health Plan list Theodore Mooncai 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 Theodore Mooncai was last updated on June 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Theodore Mooncai, MD · NPI 1407387632
Emergency Medicine physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since March 21, 2017.
## Identity
- **NPI:** 1407387632 (Entity type: Individual)
- **Enumerated:** March 21, 2017
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** AF4228690-0039 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 BOSTON MEDICAL CTR PL, Boston, MA 02118-2908
- **Phone:** (617) 414-4929
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Merrimack Valley Emergency Associates, Inc. (NPI 1821280959, Lowell, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 30, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1407387632) · Data from the CMS NPPES public registry.