NPIMap

Individual provider Active NPI

Philip A Moore, M.D.

  • Internal Medicine Physician
  • Aurora, IL
National Provider Identifier
1104877414
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036088408 Issued in IL
Practice address
2020 Ogden Ave Ste 400
Aurora, IL 60504-5898
Phone
(630) 692-5563
Fax
(630) 692-5564
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036088408 IL Primary

Addresses

Primary practice location

2020 Ogden Ave Ste 400
Aurora, IL 60504-5898

Mailing address

2000 Ogden Ave
Aurora, IL 60504-5893
Phone (630) 499-2404

Other practice location 1

1551 Bond St
Suite 127
Naperville, IL 60563-0137
Phone (630) 428-8750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20050713000077 IL Practitioner - Internal Medicine 2264468024 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians
Rush-Copley Medical Group NFPGroup PAC ID 7618864877, 101 clinicians

Practice addresses (Care Compare)

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

2000 Ogden Ave
Aurora, IL 60504-7222
Phone (312) 942-6800

2020 Ogden Ave
Suite 400
Aurora, IL 60504-5898
Phone (630) 692-5563

Hospital & facility affiliations

  • DMJ Home Health Services, Inc Home health agency, Aurora, IL, CCN 147997
  • Absolute Home Wellness Home health agency, Saint Charles, IL, CCN 148257
  • Resilience Home Health, LLC Home health agency, Aurora, IL, CCN 147998
  • Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
  • Residential Home Health Home health agency, Lisle, IL, CCN 147568
  • Unity Hospice of Western Illinois Hospice, Rochelle, IL, CCN 141614
  • Divine Hospice & Palliative Care LLC Hospice, Yorkville, IL, CCN 141690
  • Apex Hospice and Palliative Care, Inc Hospice, Westmont, IL, CCN 141645
  • Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029
  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119
  • Edward Hospital Hospital, Naperville, IL, CCN 140231
  • Presence Mercy Medical Center Hospital, Aurora, IL, CCN 140174
  • Valley West Community Hospital Hospital, Sandwich, IL, CCN 141340
  • Pearl at the Tillers Nursing home, Oswego, IL, CCN 146034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036088408ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Rush University Medical Center Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Rush-Copley Medical Group, NFP Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
F G Obregon & Associates SC Internal Medicine Past Accepting new patients
Fox Valley Physician Services SC Internal Medicine Past Accepting new patients
Rush Copley Medical Group Past Accepting new patients
Highland Physicians Services SC Internal Medicine PastSince Jul 1, 2007 Accepting new patients

Locations

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

2020 Ogden Ave
Ste 400
Aurora, IL 60504
Phone (630) 375-2925

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

75 Remittance Dr
Dept 1611
Chicago, IL 60675

507 W Kendall Dr
Ste 10
Yorkville, IL 60560
Phone (630) 553-6000

Organizations & group practices 8

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1104877414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OGDEN AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045893",
            "telephone_number": "630-499-2404",
            "fax_number": "630-499-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 OGDEN AVE STE 400",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045898",
            "telephone_number": "630-692-5563",
            "fax_number": "630-692-5564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1551 Bond St",
            "address_2": "Suite 127",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605630137",
            "country_code": "US",
            "telephone_number": "630-428-8750",
            "fax_number": "630-428-8537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "PHILIP",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036088408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.