Juan D. Moreno, P.A.
NPI 1447640842ActiveIndividual· Physician Assistant· Jbsa Randolph, TX
Physician Assistant (P.A.) in Jbsa Randolph, Texas, licensed in NM, with an NPI issued in January 2015. Enrolled in Medicare as order and referring only - physician assistant.
Overview
| NPI | 1447640842 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | Jan 23, 2015 |
| Last updated in NPPES | Aug 21, 2023 |
| Certified by provider | Aug 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA2017021 | NM |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Physician Assistant (HI) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 15 physician assistants in Jbsa Randolph · All physician assistants in Texas