MELANIE MOISES DO
NPI 1790312148
Military Health Care Provider in San Antonio, TX

Active since March 25, 2020PECOS Enrolled
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234(210) 916-4854 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 29, 2024, Oct 22, 2022, Feb 25, 2021 and 1 more (4 updates tracked since 2020).

About Melanie Moises Do NPPES

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

MELANIE MOISES DO (NPI 1790312148) is an individual military health care provider provider in San Antonio, Texas, licensed in Florida (OS19367) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790312148
Entity TypeIndividualFemale
Primary Taxonomy171000000X
Provider Legal NameMELANIE MOISESCredential: DO
Location Address3551 ROGER BROOKE DRSan Antonio, TX 78234-4504
Mailing Address3551 Roger Brooke DrSan Antonio, TX 78234-4504
Sole ProprietorNo
Enumeration DateMarch 25, 2020
Last NPPES UpdateJune 24, 20264 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1790312148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License✔ Licensed in FL · OS19367
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP10091326 (TX)
3551 ROGER BROOKE DR, San Antonio, TX 78234

Secondary Practice Locations 2

Location 1180 JFK Dr Ste 210Atlantis, FL 33462-6641 · Phone (561) 548-1450 · Fax (561) 548-1459
Location 2620 John Paul Jones CirPortsmouth, VA 23708-2111 · Phone (757) 953-2339

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melanie Moises Do 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.

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.

Nurse Anesthetist, Certified Registered
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Physician Assistant
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234
Pediatrics (Pediatric Endocrinology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Neurological Surgery
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Ophthalmology
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Emergency Medicine (Emergency Medical Services)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

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 Melanie Moises's NPI number?

The NPI number for Melanie Moises is 1790312148. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Melanie Moises located?

Melanie Moises practices at 3551 Roger Brooke Dr, San Antonio, TX 78234. The listed phone number is (210) 916-4854.

What is Melanie Moises's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Is Melanie Moises enrolled in Medicare?

Yes. Melanie Moises is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Melanie Moises was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.