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ROBERTO ANTONIO MORAN MD
NPI 1528550647
Family Medicine in Corona, NY

Active since June 04, 2018PECOS Enrolled
10211 ROOSEVELT AVE STE 4, CORONA, NY 11368(718) 898-1386(718) 898-1093 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Roberto Antonio Moran Md NPPES

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

ROBERTO ANTONIO MORAN MD (NPI 1528550647) is an individual family medicine provider in Corona, New York, licensed in New York (313493) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528550647
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERTO ANTONIO MORANCredential: MD
Location Address10211 ROOSEVELT AVE STE 4Corona, NY 11368-2331
Mailing Address10211 Roosevelt Ave Ste 4Corona, NY 11368-2331 · (718) 898-1386 · Fax (718) 898-1093
Phone(718) 898-1386
Fax(718) 898-1093
Sole ProprietorYes
Enumeration DateJune 4, 2018
Last NPPES UpdateApril 27, 2022
NPPES CertifiedApril 27, 2022
✔ NPI 1528550647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 313493
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 125072763 (IL)
10211 ROOSEVELT AVE STE 4, Corona, NY 11368
Open in Google Maps ↗

Other Identifiers 1

Medicaid06873725NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roberto Antonio Moran 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 Reassignment

Medicare enrollment records show Roberto Moran reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sop Medical PC
Same address
Primary Care
10211 ROOSEVELT AVE STE 4
Corona, NY 11368
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
NPI 1083805741 (718) 898-1386

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 11368 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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

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

SOP MEDICAL PC
Clinic/Center (Primary Care)
10211 ROOSEVELT AVE STE 4
CORONA, NY 11368
Queens County (718) 898-1386

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 Roberto Moran's NPI number?

The NPI number for Roberto Moran is 1528550647. It was assigned to this individual provider in the NPPES registry on June 4, 2018.

Where is Roberto Moran located?

Roberto Moran practices at 10211 Roosevelt Ave Ste 4, Corona, NY 11368. The listed phone number is (718) 898-1386.

What is Roberto Moran's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Roberto Moran enrolled in Medicare?

Yes. Roberto Moran is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Roberto Moran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roberto Moran reassigns Medicare benefits to Sop Medical PC (Corona, NY). 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 Roberto Moran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Roberto Moran was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.