MIGUEL ANDRES MORENO (MD) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1164591657

MIGUEL ANDRES MORENO (MD) is a healthcare provider. based in Palo alto, California. specializing in Neurology with Special Qualifications in Child Neurology Physician. They hold the professional credentials MD. They hold a License No. A79062 (CA). The NPI Number for MIGUEL ANDRES MORENO (MD) is 1164591657

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MIGUEL ANDRES MORENO (MD)
NPI
1164591657
Phone
(650) 723-0993
Address
750 WELCH RD STE 317
Enumeration Date
7 November 2006
Last Update Date
10 November 2023

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
6504987200
Graduation Year
1999 (27 years ago)
PAC ID
7113070046
Group Practice PAC ID
0840298543
Professional Enrollment ID
I20170925002516
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MIGUEL ANDRES MORENO (MD)

  • Welch Road, Stanford, Palo Alto, Santa Clara County, California, 94305-6015, United States

    PALO ALTO, CA 943041510

    Phone: (650) 723-0993

    Type: Mailing

  • 725 WELCH RD

    PALO ALTO, CA 943041601

    Phone: (650) 497-8000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: LivaNova USA, Inc. ($28).

Total Amount

$44

General + Research + Ownership

Payments

2

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-09-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170925002516INeurologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94304)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840298543View full group profile

Reviews

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Frequently asked questions

Is MIGUEL ANDRES MORENO (MD) listed with a National Provider Identifier?
Yes — MIGUEL ANDRES MORENO (MD) has NPI 1164591657 on file in the registry.
Would MIGUEL ANDRES MORENO (MD) appear as active to a payer?
You can treat MIGUEL ANDRES MORENO (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MIGUEL ANDRES MORENO (MD)'s focus?
For MIGUEL ANDRES MORENO (MD), the primary taxonomy reads as Neurology with Special Qualifications in Child Neurology Physician. Clinical services aligned with this taxonomy classification.
Where in California is MIGUEL ANDRES MORENO (MD) registered?
Use Palo Alto, California as the headline location for MIGUEL ANDRES MORENO (MD) here.
When was this NPI issued?
Enumeration for MIGUEL ANDRES MORENO (MD) is noted as November 7, 2006 where the registry provides it.

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