Derek Cecil Moore, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

05-37542 Issued in KS

Practice address

29000 Center Ridge Rd
Suite 150
Westlake, OH 44145-5293

Phone

(440) 827-5566

Fax

(440) 827-5573

NPI assigned

Jun 26, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newton Healthcare CorporationGroup PAC ID 5294646477, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• NMC Health Hospital, Newton, KS, CCN 170103

Merit-based Incentive Payment System (MIPS)

Final score

78.73 of 100Reported as group

Quality

54.57

Promoting interoperability

100

Improvement activities

40

Cost

74.52

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Newton Healthcare Corporation

  dba Newton Medical Center

  • Family Medicine Physician
  • Newton, KS
  • NPI 1871588533
  Medicare reassignment Care Compare group NPD
• Cep America - Kansas LLC

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1659768125
  Medicare reassignment NPD
• Cep America - Kansas LLC

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1790172260
  NPD
• Cep America - Kansas LLC

  • Emergency Medicine Physician
  • Wellington, KS
  • NPI 1932704608
  NPD
• Newton Healthcare Corporation

  dba NMC Health Emergency Department

  • Emergency Medicine Physician
  • Newton, KS
  • NPI 1124250808
  NPD
• Newton Healthcare Corporation

  dba NMC Health Home Health Agency

  • Home Health Agency
  • Newton, KS
  • NPI 1588755169
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Newton Healthcare Corporation

  dba NMC Health

  • General Acute Care Hospital
  • Newton, KS
  • NPI 1245238435
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1033405220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 SOMERSET LN APT 12",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440123210",
            "telephone_number": "620-845-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29000 CENTER RIDGE RD",
            "address_2": "SUITE 150",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455293",
            "telephone_number": "440-827-5566",
            "fax_number": "440-827-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DEREK",
        "middle_name": "CECIL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-26",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "05-37542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda L Montanez
• Santiago Montano, RBT
• Elysee Montgomery
• James William Moodt, D.M.D.
• Coro Moore, RBT
• Karen Moore
• Kelsey Moore
• William Hobbs Moore
• Chase T Morgan-Swaney, PHD, LPCC
• Kara Morgan, PT

• Emergency Medicine Physician in Westlake, OH
• Providers in Westlake, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.