MICHELLE MORENO (DO) – Family Medicine Physician, NPI 1174769434

MICHELLE MORENO (DO) is a healthcare provider. based in Akron, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 34-010207 (OH). The NPI Number for MICHELLE MORENO (DO) is 1174769434

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE MORENO (DO)
NPI
1174769434
Phone
(330) 724-5471
Address
1400 S Arlington St Unit 38
Enumeration Date
16 December 2008
Last Update Date
7 November 2017

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
-
Graduation Year
2008 (18 years ago)
PAC ID
1456501972
Group Practice PAC ID
5395705545
Professional Enrollment ID
I20171110002355
Address ID
OH442033659BA390XXAVEX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

4,431 FAMILY PRACTICE in OH

Provider Addresses for MICHELLE MORENO (DO)

  • 1400 S Arlington St Unit 38

    Akron, OH 443063771

    Phone: (330) 724-5471

    Type: Location

  • Box, Cleveland County, Oklahoma, United States

    CLEVELAND, OH 441930001

    Phone: (330) 724-5471

    Type: Mailing

  • South Arlington Street, Coventry Crossing, Akron, Summit County, Ohio, 44306, United States

    AKRON, OH 443063771

    Phone: (330) 724-5471

    Type: Location

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: 2017-11-10

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
I20171110002355IFamily PracticeOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83036Hemoglobin a1c level1911$0
View full utilization report →

Insurance plans in this area (ZIP 44306)

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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: 5395705545View full group profile
NameSpecialtyState
O P T O M E T R YOH
-OH
Family PracticeOH
Mental Health CounselorOH
Nurse PractitionerOH
Family PracticeOH
-OH
Nurse PractitionerOH
Internal MedicineOH
Family PracticeOH

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

How is MICHELLE MORENO (DO) identified in CMS data?
CMS-hosted NPPES data lists MICHELLE MORENO (DO) with NPI 1174769434.
Does CMS list MICHELLE MORENO (DO) as active?
Yes — MICHELLE MORENO (DO) is active in the NPI listing used on this page.
What healthcare role does MICHELLE MORENO (DO) hold?
Scheduling teams often label MICHELLE MORENO (DO) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does MICHELLE MORENO (DO) list a practice location?
Patients near Akron, Ohio may find MICHELLE MORENO (DO) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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