Individual provider Active NPI

Christopher C Moore, MD, PH.D

  • Diagnostic Radiology Physician
  • Springfield, MA
National Provider Identifier
1073548889
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
213729 Issued in MA
Practice address
759 Chestnut St
Radiology Department
Springfield, MA 01107-1619
Phone
(413) 827-7426
Fax
(413) 827-7407
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 213729 MA Primary
Diagnostic Radiology Physician 2085R0202X 040201 CT

Addresses

Primary practice location

759 Chestnut St
Radiology Department
Springfield, MA 01107-1619

Mailing address

780 Chestnut St
Springfield, MA 01107-1610
Phone (413) 827-7426

Other identifiers 2

IdentifierTypeStateIssuer
0166341MedicaidMA
003111797MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040907000405 MA Practitioner - Diagnostic Radiology 2466428933 Reassigns benefits to 1 organization
I20120213000104 CT Practitioner - Diagnostic Radiology 2466428933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Johns Hopkins University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology and Imaging IncGroup PAC ID 9234110479, 58 clinicians

Practice addresses (Care Compare)

100 Wason Ave
Suite 120
Springfield, MA 01107-1179
Phone (413) 241-2100

113 Elm St
Suite 206
Enfield, CT 06082-3738
Phone (860) 741-2177

115 W Silver St
Westfield, MA 01085-3678
Phone (413) 568-2811

164 High St
Greenfield, MA 01301-2613
Phone (413) 773-2674

21 Dwight Rd
Suite 102
Longmeadow, MA 01106-1765
Phone (413) 827-7400

325 B King St
Northampton, MA 01060-2370
Phone (413) 387-4100

40 Wright St
Palmer, MA 01069-1138
Phone (413) 284-5241

759 Chestnut St
Springfield, MA 01107-1619
Phone (413) 827-7400

Hospital & facility affiliations

  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077
  • Baystate Franklin Medical Center Hospital, Greenfield, MA, CCN 220016
  • Baystate Wing Hospital Hospital, Palmer, MA, CCN 220030
  • Baystate Noble Hospital Hospital, Westfield, MA, CCN 220065
  • Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
213729MAMDClinical Social Worker
040201CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin MRI Center LLC CurrentSince May 24, 2022 Accepting new patients
Franklin MRI Center LLC CurrentSince Dec 1, 2016 Accepting new patients
Radiology & Imaging, Inc. Diagnostic Radiology CurrentSince Jul 1, 2002 Accepting new patients
Radiology & Imaging, Inc. Diagnostic Radiology Past Accepting new patients
Johns Hopkins Community Physicians, Inc Past Accepting new patients
Baystate Vascular Services, Inc Past Accepting new patients

Locations

113 Elm St
Ste 206
Enfield, CT 06082
Phone (860) 741-2177

1350 Main St
#1007
Springfield, MA 01103
Phone (413) 495-1100

780 Chestnut St
Springfield, MA 01107
Phone (413) 732-5809

759 Chestnut St
Springfield, MA 01107
Phone (413) 794-6297

1350 Main St
Ste 1007
Springfield, MA 01103
Phone (413) 495-1129

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073548889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 CHESTNUT ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071610",
            "telephone_number": "413-827-7426",
            "fax_number": "413-827-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 CHESTNUT ST",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071619",
            "telephone_number": "413-827-7426",
            "fax_number": "413-827-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHRISTOPHER",
        "middle_name": "C",
        "credential": "MD, PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "213729",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "040201",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0166341",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003111797",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.