DR. RODERICK DONALD MOE MD NPI 1982636742

NPI Information

  • NPI: 1982636742
  • Provider Name: DR. RODERICK DONALD MOE, MD
  • Classification: Otolaryngology - 207YP0228X
  • Specialization: Pediatric Otolaryngology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 16723 HUEBNER RD
    SAN ANTONIO, TX
    ZIP 78248
  • Phone: (210) 733-4368

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NPI Details

DR. Roderick Donald Moe, MD is a pediatric otolaryngology otolaryngology in San Antonio, TX. The provider is 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. DR. Roderick Donald Moe, MD NPI is 1982636742. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16723 HUEBNER RD
SAN ANTONIO, TX
ZIP 78248-342
Phone: (210) 733-4368
Fax: (210) 402-3417

The NPI 1982636742 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 enumeration date for this NPI number is 7/6/2006 and was last updated on 8/27/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1173000000XLegal MedicineF9837TEXASNo
2207YP0228XOtolaryngologyPediatric OtolaryngologyF9837TEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1126432701MEDICAIDTEXAS
220082224OTHERTEXASDPS
3126432706MEDICAIDTEXAS
4F9837OTHERTEXASPHYSICIAN PERMIT
5095065103MEDICAIDTEXAS

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: 11/21/2025

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