Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michael A Moreno, MD

Individual provider Psychiatry Physician · NPI 1124284831

Dr. Michael A Moreno, MD is a Psychiatry in Champaign, Illinois. Graduated from Rush Medical College of Rush University in 2007, 19 years ago. Practices with Carle Health Care Incorporated, a 1,543-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
19
Trained at
Rush Medical College of Rush University
Licensed in
IL
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1802 S Mattis Ave
Champaign, IL 61821-5923
Phone: (217) 383-1850
Fax: (217) 383-3439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 036125839 (IL)
Psychiatry Physician Taxonomy 2084P0800X · Licence 125053061 (IL)

Record details

NPI number1124284831
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 1, 2008
Last updated in NPPESMay 19, 2022
Certification dateMay 19, 2022
Mailing address611 W Park St, Urbana, IL 61801-2529

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 2007 (19 years in practice)
Group practice Carle Health Care Incorporated — 1543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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