DR. RODERICK DONALD MOE JR. MD
NPI 1982636742
Otolaryngology - Pediatric Otolaryngology in San Antonio, TX

Q: What is Roderick Moe's NPI number?

The NPI number for Roderick Moe is 1982636742. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Q: What is Roderick Moe's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Q: When was this NPI record last updated?

The NPPES record for Roderick Moe was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 July 06, 2006PECOS Enrolled

16723 HUEBNER RD, SAN ANTONIO, TX 78248(210) 733-4368(210) 402-3417 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Roderick Donald Moe Jr. Md NPPES

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

DR. RODERICK DONALD MOE JR. MD (NPI 1982636742) is an individual pediatric otolaryngology provider in San Antonio, Texas, licensed in Texas (F9837) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982636742

Entity TypeIndividualMale

Primary Taxonomy207YP0228X

Provider Legal NameDR. RODERICK DONALD MOE JR.Credential: MD

Location Address16723 HUEBNER RDSan Antonio, TX 78248-2342

Mailing Address903 W Martin St # Ms 49-2San Antonio, TX 78207-0903 · (210) 358-0572 · Fax (210) 358-5940

Phone(210) 733-4368

Fax(210) 402-3417

Sole ProprietorNo

Enumeration DateJuly 6, 2006

Last NPPES UpdateAugust 27, 2024

NPPES CertifiedAugust 27, 2024

✔ NPI 1982636742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207YP0228X

License✔ Licensed in TX · F9837

Definition

A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.

Also ListedLegal MedicineTaxonomy 173000000X · License F9837 (TX)

16723 HUEBNER RD, San Antonio, TX 78248

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Other Identifiers 5

Medicaid126432701TX

Other20082224TX · Dps

Medicaid126432706TX

OtherF9837TX · Physician Permit

Medicaid095065103TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roderick Donald Moe Jr. 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.

Other Providers at the Same Location NPPES 8

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

DR. WASYL SZEREMETA MD MBA

Otolaryngology (Pediatric Otolaryngology)