Look up the most recent NPI and PECOS records

Derek Thomas Moore

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Allopathic & Osteopathic Physicians

6431 Fannin St, Msb 4.331, Houston, TX 77030-1501

PECOS Enrollment

This provider is enrolled in PECOS as DEREK MOORE.

Based on the most recent information from CMS, provider Derek Thomas Moore is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1528306511
Provider Type
Individual
Full Name
Moore, Derek Thomas
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
1/25/2013
Last Updated
7/28/2022

Contact Information

Practice Location

6431 Fannin St, Msb 4.331, Houston, TX 77030-1501

(713) 500-7216

Unlisted Fax

Mailing Location

1150 N 18th St, Abilene, TX 79601-2948

(325) 670-4560

(833) 437-1256

Provider Taxonomies

Code	Description	License
Code 208G00000X Primary	Description Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians	License T8606 Texas
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Derek Thomas Moore

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Wellspring Cardiovascular & Thoracic Surgery, Pa

Sarfaraz, Ziyab

Gregoric, Igor Darko

Seth, Harsh Sateesh

Pickard, Laurens Russell

Ghanta, Ravi K.

Wyler Von Ballmoos, Moritz Casper

Liao, Kenneth K

Chan, Edward

Eisenberg, Steven B.