MOORE ANESTHESIA, LLC
NPI 1669284832
Nurse Anesthetist, Certified Registered in Dallas, TX
About Moore Anesthesia, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOORE ANESTHESIA, LLC (NPI 1669284832) is a healthcare organization registered as a nurse anesthetist, certified registered in Dallas, Texas and active in the NPI registry since January 2025. The organization maintains a secondary practice location in Fort Worth and lists Mandy Karimi Moore, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Moore Anesthesia, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Moore Anesthesia, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Moore Anesthesia, LLC's NPI number?
The NPI number for Moore Anesthesia, LLC is 1669284832. It was assigned to this organization in the NPPES registry on January 23, 2025.
Where is Moore Anesthesia, LLC located?
Moore Anesthesia, LLC is located at 4225 Office Pkwy, Dallas, TX 75204. The listed phone number is (817) 422-3958.
What is Moore Anesthesia, LLC's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Moore Anesthesia, LLC enrolled in Medicare?
Yes. Moore Anesthesia, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Moore Anesthesia, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns their Medicare billing to Moore Anesthesia, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Moore Anesthesia, LLC was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Moore Anesthesia, Llc · NPI 1669284832
Nurse Anesthetist, Certified Registered organization in Dallas, Texas. Organization record, active in the CMS NPPES registry since January 23, 2025.
## Identity
- **NPI:** 1669284832 (Entity type: Organization)
- **Enumerated:** January 23, 2025
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **Organization subpart:** No
- **Authorized official:** Mandy Moore, OWNER
## Practice location
- **Address:** 4225 OFFICE PKWY, Dallas, TX 75204-3628
- **Phone:** (817) 422-3958
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1669284832) · Data from the CMS NPPES public registry.