Active NPI
Julie A Moore, M.D.
- Dermatology Physician
- Melrose Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 036075509
- Practice address
- 501 W North Ave Ste 103
Melrose Park, IL 60160-1603 - Phone
- (708) 450-5086
- NPI assigned
- Apr 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 036075509 | IL | Primary |
Addresses
Primary practice location
501 W North Ave Ste 103
Melrose Park, IL 60160-1603
Mailing address
501 W North Ave Ste 103
Melrose Park, IL 60160-1603
Phone (708) 450-5086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036075509 | Medicaid | IL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JulieMoore@moore.emadirect.md | ||
| Direct Messaging Address | JulieMoore@moore.emadirect.md |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Creighton University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
501 W N Ave
Suite 103
Melrose Park, IL 60160-1677
Phone (708) 450-5086
Hospital & facility affiliations
- Loyola Gottlieb Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.53 of 100
- Quality
- 73.33
- Promoting interoperability
- 64
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1175 |
| Skin biopsy | 503 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moore Dermatology SC | Dermatology | Current | Accepting new patients |
| Loyola University Medical Center | Current | Accepting new patients | |
| Tracy Campbell MD LLC | Dermatology | Current | Accepting new patients |
| Dupage Medical Group LTD | Past | Accepting new patients | |
| Rush University Medical Center | Past | Accepting new patients |
Locations
501 W North Ave
Ste 103
Melrose Park, IL 60160
Phone (708) 450-5086
701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779
Interoperability endpoints
- jmoore50902@direct.luhs.org
- juliemoore@moore.emadirect.md
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Melrose Park, IL
- NPI 1659552875
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
- Dermatology Physician
- Melrose Park, IL
- NPI 1710294756
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
-
- Hematology & Oncology Physician
- Chicago, IL
- NPI 1558320861
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Melrose Park, IL
- NPI 1831170232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1053373589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 W NORTH AVE STE 103",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601601603",
"telephone_number": "708-450-5086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W NORTH AVE STE 103",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601601603",
"telephone_number": "708-450-5086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JULIE",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IL",
"license": "036075509",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036075509",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "JulieMoore@moore.emadirect.md",
"affiliation": "N",
"address_1": "501 W North Ave Ste 103",
"city": "Melrose Park",
"state": "IL",
"country_code": "US",
"postal_code": "601601603",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "JulieMoore@moore.emadirect.md",
"affiliation": "N",
"address_1": "501 W North Ave Ste 103",
"city": "Melrose Park",
"state": "IL",
"country_code": "US",
"postal_code": "601601603",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Melrose Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.