NPIMap

Individual provider Active NPI

Mikaela Danielle Moore, MD

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1093393373
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.150409 Issued in OH
Practice address
740 W Galbraith Rd
Cincinnati, OH 45231-6002
Phone
(513) 771-0800
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Family Medicine Physician 207Q00000X 35.150409 OH Primary

Addresses

Primary practice location

740 W Galbraith Rd
Cincinnati, OH 45231-6002

Mailing address

740 W Galbraith Rd
Cincinnati, OH 45231-6002
Phone (513) 771-0800

Other practice location 1

1775 W Lexington Ste 100
Cincinnati, OH 45212-3667
Phone (513) 977-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240925001175 OH Practitioner - Family Practice 6800205329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth G LLCGroup PAC ID 0749222651, 294 clinicians

Practice addresses (Care Compare)

740 W Galbraith Rd
Suite 210
Cincinnati, OH 45231-6002
Phone (513) 771-0800

Hospital & facility affiliations

  • American Mercy Home Care, LLC Home health agency, Cincinnati, OH, CCN 367167
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
88.71
Promoting interoperability
100
Improvement activities
40
Cost
74.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.150409OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G LLC Family Medicine CurrentSince Aug 12, 2024 Accepting new patients
Trihealth G, LLC CurrentSince Aug 12, 2024 Accepting new patients

Locations

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

740 W Galbraith Rd
Ste 210
Cincinnati, OH 45231
Phone (513) 771-0800

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

Interoperability endpoints

  • Direct secure messaging: mmoore338940@direct.trihealth.com

Organizations & group practices 2

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 7

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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1093393373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 W GALBRAITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452316002",
            "telephone_number": "513-771-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 W GALBRAITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452316002",
            "telephone_number": "513-771-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 W Lexington Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452123667",
            "country_code": "US",
            "telephone_number": "513-977-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MIKAELA",
        "middle_name": "DANIELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.150409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.