DR. ROBERTO ANTONIO MORAN-BOJORQUEZ (M.D.) – Emergency Medicine Physician, NPI 1063689651

DR. ROBERTO ANTONIO MORAN-BOJORQUEZ (M.D.) is a healthcare provider. based in Joplin, Missouri. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 2009016964 (MO). The NPI Number for DR. ROBERTO ANTONIO MORAN-BOJORQUEZ (M.D.) is 1063689651

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERTO ANTONIO MORAN-BOJORQUEZ (M.D.)
NPI
1063689651
Phone
(417) 556-2300
Address
100 MERCY WAY
Enumeration Date
13 May 2008
Last Update Date
20 September 2022

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
5737296626
Graduation Year
2006 (20 years ago)
PAC ID
5597811893
Group Practice PAC ID
7012801129
Professional Enrollment ID
I20090928000367
Address ID
MO655607217SA3562972XX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,351 EMERGENCY MEDICINE in MO

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Provider Addresses for DR. ROBERTO ANTONIO MORAN-BOJORQUEZ (M.D.)

  • Mercy Hospital Joplin, 100, Mercy Way, Joplin, Newton County, Missouri, 64804, United States

    JOPLIN, MO 648044524

    Phone: (417) 556-2300

    Fax: (417) 556-3625

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-01-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20090928000367IEmergency MedicineMOTBD
I20220120001469IEmergency MedicineKSTBD

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 64804)

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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: 7012801129View full group profile
NameSpecialtyState
Emergency MedicineOH
Nurse PractitionerMO
Internal MedicineMO
Emergency MedicineMO
Family PracticeMO
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineAE
Nurse PractitionerMO
Emergency MedicineOK
Internal Medicine, General PracticeMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What federal number belongs to DR. ROBERTO ANTONIO MORAN-BOJORQUEZ (M.D.)?
The federal identifier for DR. ROBERTO ANTONIO MORAN-BOJORQUEZ (M.D.) is NPI 1063689651.
Is DR. ROBERTO ANTONIO MORAN-BOJORQUEZ (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. ROBERTO ANTONIO MORAN-BOJORQUEZ (M.D.) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for DR. ROBERTO ANTONIO MORAN-BOJORQUEZ (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. ROBERTO ANTONIO MORAN-BOJORQUEZ (M.D.)?
We surface Joplin, Missouri for DR. ROBERTO ANTONIO MORAN-BOJORQUEZ (M.D.) based on available NPPES addresses.
Is DR. ROBERTO ANTONIO MORAN-BOJORQUEZ (M.D.) a real provider?
This page reflects official NPPES data for NPI 1063689651. Always confirm identity and privileges with the practice and licensing boards.

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