MOON LAKE EMERGENCY PHYSICIANS LLC – Emergency Medicine Physician, NPI 1831561455

MOON LAKE EMERGENCY PHYSICIANS LLC is a healthcare provider. based in Dallas, Texas. specializing in Emergency Medicine Physician. The NPI Number for MOON LAKE EMERGENCY PHYSICIANS LLC is 1831561455

Main info

Organization
Name
MOON LAKE EMERGENCY PHYSICIANS LLC
NPI
1831561455
Phone
(954) 838-2371
Address
13737 NOEL RD
Authorized Official
KATHLEEN KONDAS OFFICER
Enumeration Date
22 October 2015
Last Update Date
10 September 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:10State licenses:0Digital endpointsOther names

Provider Addresses for MOON LAKE EMERGENCY PHYSICIANS LLC

  • 13737 NOEL RD

    STE 1600

    DALLAS, TX 752401331

    Phone: (954) 838-2371

    Type: Mailing

  • 4401 RIVER CHASE DR

    PHENIX CITY, AL 368677483

    Phone: (469) 401-2386

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 75240)

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Reviews

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Frequently asked questions

What unique ID ties claims to MOON LAKE EMERGENCY PHYSICIANS LLC?
NPI 1831561455 is assigned to MOON LAKE EMERGENCY PHYSICIANS LLC under the national enumeration system.
Is MOON LAKE EMERGENCY PHYSICIANS LLC active in the national directory?
MOON LAKE EMERGENCY PHYSICIANS LLC's public NPI profile is in an active state.
Does MOON LAKE EMERGENCY PHYSICIANS LLC list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for MOON LAKE EMERGENCY PHYSICIANS LLC. Clinical services aligned with this taxonomy classification.
What location metadata exists for MOON LAKE EMERGENCY PHYSICIANS LLC?
The page summarizes Dallas, Texas for MOON LAKE EMERGENCY PHYSICIANS LLC; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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