Matthew Moen
NPI 1922851310ActiveIndividual· Anesthesiologist Assistant· Dallas, TX
Anesthesiologist Assistant with Dallas Physician Medical Services for Children Inc, practicing in Dallas, Texas. Enrolled in Medicare as practitioner - anesthesiology assistant.
Overview
| NPI | 1922851310 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 8, 2024 |
| Last updated in NPPES | Jun 11, 2024 |
| Certified by provider | Jun 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | — | TX |
| Anesthesiologist Assistant | 367H00000X | — | — |
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 Practitioner - Anesthesiology Assistant (TX) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Anesthesiology Assistant |
Medical group
- Dallas Physician Medical Services for Children IncDallas, TX · 83 clinicians
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