P Praxis·MD
● Active Type 1 · Individual

Christopher Al Moreno, M.D.

Surgery·Lewiston, ID· NPI 1275589905 · Enumerated 2006 · 20 years on NPI
Moreno is 1 of 13 surgery providers in Lewiston and 1 of 260 in Idaho.
NPI age
20 years
Enumerated 2006-05-25
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2007-09-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 260 active surgery providers in Idaho.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
2 states
Top 71% — 28% of peers are multi-state
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
307 St. Johns Way, Suite 11
Lewiston, ID 83501
📞 2087437612fax 2087464802
Mailing address
307 St. Johns Way, Suite 11
Lewiston, ID 83501
📞 2087437612fax 2087464802

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    ID license #M5071WA license #MD00024021 taxonomy 208600000X

Identifiers

TypeValueNotes
01 (ID) 000010002753 REGENCE BLUE SHIELD OF ID
01 (ID) D0782 BLUE CROSS OF IDAHO
01 (WA) 8909565 WA CRIME VICTIMS PROGRAM
05 (WA) 1021856
05 (ID) 002599100
01 (WA) 0096144 WA LABOR & INDUSTRY
01 020006062 RAILROAD MEDICARE
01 (ID) 82040040083501A003 TRICARE/TRI WEST
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 1 new surgery provider has been added in Lewiston in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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