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DR. ARMANDO J MONCADA JR. M.D.
NPI 1639246366
Pathology - Anatomic Pathology in Beverly, MA

Active since November 29, 2006PECOS EnrolledAccepts Medicare Assignment
85 HERRICK ST, BEVERLY, MA 01915(978) 922-3000 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Armando J Moncada Jr. M.d. NPPES

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

DR. ARMANDO J MONCADA JR. M.D. (NPI 1639246366) is an individual anatomic pathology provider in Beverly, Massachusetts, licensed in Massachusetts (53337) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Christus Shreveport-bossier Health System, and maintains a secondary practice location in Dahlonega.

NPPES Registry Identity

NPI1639246366
Entity TypeIndividualMale
Primary Taxonomy207ZP0101X
Provider Legal NameDR. ARMANDO J MONCADA JR.Credential: M.D.
Location Address85 HERRICK STBeverly, MA 01915-1790
Mailing AddressProvider Enrollment 41 Mall RoadBurlington, MA 01805-0001
Phone(978) 922-3000
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateNovember 29, 2006
Last NPPES UpdateJune 25, 2024
NPPES CertifiedJune 25, 2024
✔ NPI 1639246366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License✔ Licensed in MA · 53337
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedSpecialistTaxonomy 174400000X · License H9386 (TX), ME89563 (FL), MD07816R (LA)
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 053337 (GA)
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License 053337 (GA)
85 HERRICK ST, Beverly, MA 01915
Open in Google Maps ↗

Secondary Practice Location 1

Location 1134 Ansley Dr, Suite 500Dahlonega, GA 30533-1614 · Phone (800) 507-0203 · Fax (800) 507-0203

Other Identifiers 2

Other053337GA · License
Medicaid383070886GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CHRISTUS Health Plan, HMO Louisiana, Mountain Health CO-OP.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Armando J Moncada Jr. M.d. 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 ID547231839
PECOS Enrollment IDI20250624001330
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 Reassignments

5

Medicare enrollment records show Armando Moncada reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lahey Clinic, Inc
4.1 mi
Internal Medicine
1 ESSEX CENTER DR
Peabody, MA 01960
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,841 clinicians in this Medicare group
NPI 1063447316 (781) 744-8000
Wellstar Medical Group, LLC
935 mi
Family Medicine
687 MARIETTA HWY
Canton, GA 30114
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1386054278 (770) 479-8040
Mayo Clinic Health System In Waycross, Inc.
1,005 mi
Multi-Specialty
1900 TEBEAU ST
Waycross, GA 31501
  • Reassigned Medicare billing, Georgia enrollment
  • 76 clinicians in this Medicare group
NPI 1154745982 (912) 283-3030
Blue Health, LLC
1,217 mi
Anatomic Pathology & Clinical Pathology
10101 FOREST HILL BLVD
Wellington, FL 33414
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1659770154 (561) 753-2698
Billings Clinic
1,733 mi
Physical Therapist
3012 STOWER ST, SUITE D
Miles City, MT 59301
  • Reassigned Medicare billing, Montana enrollment
  • 1,264 clinicians in this Medicare group
NPI 1003194929 (406) 238-2500

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

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
36 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus Shreveport-Bossier Health System

Acute Care Hospitals · Shreveport, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190041
Location1453 E Bert Kouns Industrial LoopShreveport, LA 71105 · Caddo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01915 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 20

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

DR. ROBERT JOHN TAVARES M.D.
Internal Medicine
85 HERRICK ST, LAHEY AT BEVERLY HOSPITAL
BEVERLY, MA 01915
Essex County (978) 922-3000
JENNA SUSAN LINEHAN RD
Dietitian, Registered
85 HERRICK ST
BEVERLY, MA 01915
Essex County (978) 816-2501
RONALD NEWMAN MD
Internal Medicine
85 HERRICK ST, LAHEY AT BEVERLY HOSPITAL
BEVERLY, MA 01915
Essex County (978) 922-3000
TYANNA BARNES CRNA
Nurse Anesthetist, Certified Registered
85 HERRICK ST
BEVERLY, MA 01915
Essex County (978) 816-2501
MS. LINDA G HAYNES PNP
Nurse Practitioner (Pediatrics)
85 HERRICK ST, THE LYNCH BUILDING
BEVERLY, MA 01915
Essex County (978) 921-2899
DR. ARIADNE STEPHANIE SCOTT IRIARTE MD
Internal Medicine
85 HERRICK ST
BEVERLY, MA 01915
Essex County (978) 922-3000
PAULA K MARTINEZ MD
Hospitalist
85 HERRICK ST
BEVERLY, MA 01915
Essex County (978) 816-3700
NATALIE REYNOLDS RULLI
Dietitian, Registered
85 HERRICK ST
BEVERLY, MA 01915
Essex County (978) 816-2501

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 Armando Moncada's NPI number?

The NPI number for Armando Moncada is 1639246366. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Armando Moncada located?

Armando Moncada practices at 85 Herrick St, Beverly, MA 01915. The listed phone number is (978) 922-3000.

What is Armando Moncada's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Armando Moncada enrolled in Medicare?

Yes. Armando Moncada is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Armando Moncada's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Armando Moncada reassigns Medicare benefits to 5 organizations: Lahey Clinic, Inc (Peabody, MA), Wellstar Medical Group, LLC (Canton, GA), Mayo Clinic Health System In Waycross, Inc. (Waycross, GA), Blue Health, LLC (Wellington, FL) and Billings Clinic (Miles City, MT). Each 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 Armando Moncada's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Armando Moncada accept?

Health plans from CHRISTUS Health Plan, HMO Louisiana and Mountain Health CO-OP list Armando Moncada 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.

Is Armando Moncada affiliated with any hospitals?

According to CMS data, Armando Moncada is affiliated with Christus Shreveport-Bossier Health System.

When was this NPI record last updated?

The NPPES record for Armando Moncada was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.