SAMEET MOOR (DO) – Dermatology Physician, NPI 1366964678

SAMEET MOOR (DO) is a healthcare provider. based in San antonio, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 23084 (CA). The NPI Number for SAMEET MOOR (DO) is 1366964678

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
SAMEET MOOR (DO)
NPI
1366964678
Phone
(201) 358-3650
Address
903 W Martin St # MS 49-2
Enumeration Date
10 July 2017
Last Update Date
10 December 2025

Doctor Profile

Medical School Name
ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Secondary Phone
9095801000
Graduation Year
2017 (9 years ago)
PAC ID
6204100290
Group Practice PAC ID
2668812710
Professional Enrollment ID
I20251013001416
Address ID
CA923241801CO400XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:8State licenses:3Digital endpointsOther names

8,706 FAMILY PRACTICE in TX

Provider Addresses for SAMEET MOOR (DO)

  • 903 W Martin St # MS 49-2

    San Antonio, TX 782070903

    Phone: (201) 358-3650

    Fax: (210) 358-3799

    Type: Location

  • 2055 Kimball Ave Ste 101

    Waterloo, IA 507025047

    Phone: (319) 272-2112

    Fax: (319) 272-2107

    Type: Location

  • Kimball Avenue, Waterloo, Black Hawk County, Iowa, 50701, United States

    WATERLOO, IA 507025047

    Phone: (319) 272-2112

    Fax: (319) 272-2107

    Type: Mailing

  • 903 W MARTIN ST # MS 49-2

    SAN ANTONIO, TX 782070903

    Phone: (201) 358-3650

    Fax: (210) 358-3799

    Type: Location

  • 16888 BASELINE AVE

    FONTANA, CA 923362083

    Phone: (855) 422-8029

    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: 2025-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20181009002421IFamily PracticeIATBD
I20230726003120IFamily PracticeWATBD
I20240627000976IFamily PracticeTXTBD
I20251013001416IFamily PracticeCATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9448$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7434$0
99239Hospital discharge day management, more than 30 minutes3231$0
View full utilization report →

Insurance plans in this area (ZIP 78207)

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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: 2668812710View full group profile
NameSpecialtyState
Nurse PractitionerCA
Family PracticeCA
Family PracticeCA
Nurse PractitionerCA
Physician AssistantCA
Family PracticeCA
Family PracticeCA
Family PracticeCA
Nurse PractitionerCA
Family PracticeCA

Reviews

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Frequently asked questions

Is there an official ID for SAMEET MOOR (DO) in U.S. healthcare records?
The official identifier for SAMEET MOOR (DO) is NPI 1366964678.
Is SAMEET MOOR (DO) shown as active in public data?
Registry records indicate SAMEET MOOR (DO) maintains an active NPI.
What expertise is attributed to SAMEET MOOR (DO)?
SAMEET MOOR (DO)'s specialty line reads Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is SAMEET MOOR (DO) associated with San Antonio?
Public fields place SAMEET MOOR (DO) around San Antonio, Texas. Always confirm the exact site before visiting.
Can I trust this NPI listing for SAMEET MOOR (DO)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.