Active NPI
Christopher C Moore, MD, PH.D
- Diagnostic Radiology Physician
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 213729
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0166341 | Medicaid | MA | |
| 003111797 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Baystate Franklin Medical Center
- Baystate Wing Hospital
- Baystate Noble Hospital
- Berkshire Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213729 | MA | MD | Clinical Social Worker |
| 040201 | CT | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franklin MRI Center LLC | Current | Accepting new patients | |
| Franklin MRI Center LLC | Current | Accepting new patients | |
| Radiology & Imaging, Inc. | Diagnostic Radiology | Current | 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.
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Palmer, MA
- NPI 1194479097
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Greenfield, MA
- NPI 1417191727
-
- Vascular Surgery Physician
- Springfield, MA
- NPI 1174721336
-
- Diagnostic Radiology Physician
- Springfield, MA
- NPI 1851552905
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1770518003
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenfield, MA
- NPI 1508867391
-
- General Acute Care Hospital
- Springfield, MA
- NPI 1487655064
-
- General Acute Care Hospital
- Westfield, MA
- NPI 1700816048
-
- General Acute Care Hospital
- Palmer, MA
- NPI 1962410233
-
- General Acute Care Hospital
- Pittsfield, MA
- NPI 1295765261
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.