DR. ISMAEL PEREZ MORENO MD
NPI 1679716278
Radiology - Vascular & Interventional Radiology in Sacramento, CA

Q: What is Ismael Moreno's NPI number?

The NPI number for Ismael Moreno is 1679716278. It was assigned to this individual provider in the NPPES registry on April 13, 2009.

Q: What is Ismael Moreno's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Q: When was this NPI record last updated?

The NPPES record for Ismael Moreno was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since April 13, 2009PECOS EnrolledAccepts Medicare Assignment

79.78/100

CMS Quality Rating

2825 CAPITOL AVE, SACRAMENTO, CA 95816(916) 887-1140 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2025, Feb 12, 2020, Nov 4, 2019 (3 updates tracked since 2019).

On this page

About Dr. Ismael Perez Moreno Md NPPES

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

DR. ISMAEL PEREZ MORENO MD (NPI 1679716278) is an individual vascular & interventional radiology provider in Sacramento, California, licensed in California (A117180) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in St. Louis, and is a graduate of University Of California, Geffen School Of Medicine (2004).

NPPES Registry Identity

NPI1679716278

Entity TypeIndividualMale

Primary Taxonomy2085R0204X

Provider Legal NameDR. ISMAEL PEREZ MORENOCredential: MD

Location Address2825 CAPITOL AVESacramento, CA 95816-6039

Mailing Address1680 Stronsay CtFolsom, CA 95630-6224 · (916) 501-1472

Phone(916) 887-1140

Sole ProprietorNo

Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2004

Enumeration DateApril 13, 2009

Last NPPES UpdateMay 29, 20253 updates tracked since enumeration

NPPES CertifiedMay 29, 2025

✔ NPI 1679716278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

Licenses✔ Licensed in CA · A117180✔ Licensed in MO · 2013030321

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License MT 184060 (PA), C7-0004180 (DE)

2825 CAPITOL AVE, Sacramento, CA 95816

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Secondary Practice Location 1

Location 13635 Vista at Grand, Desloge Towers, 2nd FloorSt. Louis, MO 63110 · Phone (314) 268-5782 · Fax (314) 268-5116

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Dr. Ismael Perez Moreno 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 ID9830354125

PECOS Enrollment IDI20120712000343

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.

Areas of Expertise CMS Part B claims 3

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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

19 services19 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

15 services13 patients

Review by radiologist of ct guidance for needle placement 77012

This process involves a radiologist examining CT scan images to accurately guide a needle's placement within the body. This technique is often used for biopsies or treatments, ensuring precision and safety.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95816 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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

79.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.45

Improvement Activities

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. JOHN SUNG PHARMD.

Pharmacist