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

Ricardo Daniel Moreno, MD

Individual provider Surgery Physician · NPI 1306998984

Ricardo Daniel Moreno, MD is a General Surgery in Atlanta, Georgia. Graduated from Harvard Medical School in 2000, 26 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
26
Trained at
Harvard Medical School
Licensed in
NC
In the registry since
2007
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

20 Glenlake Pkwy Kaiser Permanente-Glenlake Medical Ctr
Atlanta, GA 30328-3473
Phone: (770) 677-6075
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 062261 (NC)
Surgery Physician Taxonomy 208600000X · Licence 2005-00696 (NC)

Record details

NPI number1306998984
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 17, 2007
Last updated in NPPESJanuary 7, 2022
Mailing address3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 2000 (26 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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