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DR. BENJAMIN JON MORENO MD PHD NPI 1013163526


NPI Information

NPI: 1013163526
Provider Name: DR. BENJAMIN JON MORENO, MD, PHD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
3707 NEW VISION DR STE 110
FORT WAYNE, IN
ZIP 46845
Phone: (260) 469-6602
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DR. Benjamin Jon Moreno, MD, PHD is a diagnostic radiology radiology in Fort Wayne, IN with 19 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Benjamin Jon Moreno, MD, PHD NPI is 1013163526. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:2005

The provider's business location address is:

3707 NEW VISION DR STE 110
FORT WAYNE, IN
ZIP 46845-702
Phone: (260) 469-6602
Fax: (260) 484-5919

The NPI 1013163526 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan chest (HCPCS:71250)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older (HCPCS:36561)
  • Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
  • Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • Ultrasound study of arteries of both arms and legs (HCPCS:93922)

The enumeration date for this NPI number is 8/15/2008 and was last updated on 3/5/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology01070072INDIANAYes
22085R0204XRadiologyVascular & Interventional Radiology01070072INDIANANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1201028590MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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