Active NPI
Anika Tene Moore, MD
- Obstetrics & Gynecology Physician
- Montgomery, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 35.141435
- Practice address
- 10506 Montgomery Rd Ste 504
Montgomery, OH 45242-4400 - Phone
- (513) 221-3800
- Fax
- (513) 682-4520
- NPI assigned
- Aug 16, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35.141435 | OH | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 265368 | MA |
Addresses
Primary practice location
10506 Montgomery Rd Ste 504
Montgomery, OH 45242-4400
Mailing address
10506 Montgomery Rd Ste 504
Montgomery, OH 45242-4400
Phone (513) 221-3800
Other practice location 1
63 Main St
Brockton, MA 02301-4042
Phone (508) 559-6699
Other practice location 2
63 Main St
Brockton, MA 02301
Phone (508) 559-6699
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174859425 | Medicaid | CA | |
| W1508 | Other | CA | MEDICARE GROUP PTAN |
| 1447277355 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MA, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Wright State University Boonshoft School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10506 Montgomery Rd
Montgomery, OH 45242-4400
375 Dixmyth Ave
Cincinnati, OH 45220-2475
379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7000
8020 Liberty Way
Liberty TWP, OH 45069-2519
Phone (513) 246-1760
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98138 | CA | MD | Clinical Social Worker |
| 265368 | MA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trihealth H LLC | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Mercy Health Physicians Cincinnati Specialty Care LLC | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Mercy Health Physicians Cincinnati Specialty Care LLC | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Pacific Central Coast Health Centers | Past | Accepting new patients | |
| Trihealth Physician Institute | Past | Accepting new patients | |
| Bethesda Hospital Inc | Past | Accepting new patients |
Locations
7512 Morro Rd
Atascadero, CA 93422
Phone (805) 461-3344
4723 W Main St
Ste H
Guadalupe, CA 93434
Phone (805) 343-2004
150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254
77 Casa St
#201202
San Luis Obispo, CA 93405
Phone (805) 269-1500
1418 E Main St
Ste 110
Santa Maria, CA 93454
Phone (805) 614-7005
116 S Palisade Dr
Ste 200
Santa Maria, CA 93454
Phone (805) 739-3968
2050 S Blosser Rd
Santa Maria, CA 93458
Phone (805) 361-8014
2801 Santa Maria Way
Bldg A
Santa Maria, CA 93455
Phone (805) 938-9200
1551 Bishop St
Ste A160
Sn Luis Obisp, CA 93401
Phone (805) 781-4230
1551 Bishop St
Ste 240
Sn Luis Obisp, CA 93401
Phone (805) 434-1038
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
3050 Mack Rd
Ste 375
Fairfield, OH 45014
Phone (513) 221-3800
2990 Mack Rd
Fl 1
Fairfield, OH 45014
Phone (512) 870-7800
201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100
10506 Montgomery Rd
Ste 504
Montgomery, OH 45242
Phone (513) 221-3800
7759 University Dr
Ste D
West Chester, OH 45069
Phone (513) 463-4300
8020 Liberty Way
West Chester, OH 45069
Phone (513) 777-8300
Interoperability endpoints
- dr.anika_moore@ogai.gwaydirect.com
- amoore394473@direct.uchealth.com
- amoore399354@direct.trihealth.com
Organizations & group practices 10
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.
-
- Obstetrics Physician
- Cincinnati, OH
- NPI 1811215742
-
- Surgery Physician
- Blue Ash, OH
- NPI 1154942795
-
- Federally Qualified Health Center (FQHC)
- Oceano, CA
- NPI 1336166248
-
- Durable Medical Equipment & Medical Supplies
- Liberty TWP, OH
- NPI 1730993270
-
- Federally Qualified Health Center (FQHC)
- San Luis Obispo, CA
- NPI 1275553257
-
- Federally Qualified Health Center (FQHC)
- Santa Maria, CA
- NPI 1447277355
-
- Federally Qualified Health Center (FQHC)
- Santa Maria, CA
- NPI 1851417703
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
-
- Nurse Practitioner
- Cincinnati, OH
- NPI 1922051697
-
- Community Health Clinic/Center
- Bakersfield, CA
- NPI 1720752355
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
-
- General Acute Care Hospital
- Fairfield, OH
- NPI 1467552471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1114119732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10506 MONTGOMERY RD STE 504",
"city": "MONTGOMERY",
"state": "OH",
"postal_code": "452424400",
"telephone_number": "513-221-3800",
"fax_number": "513-682-4520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10506 MONTGOMERY RD STE 504",
"city": "MONTGOMERY",
"state": "OH",
"postal_code": "452424400",
"telephone_number": "513-221-3800",
"fax_number": "513-682-4520"
}
],
"practiceLocations": [
{
"address_1": "63 Main St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023014042",
"country_code": "US",
"telephone_number": "508-559-6699",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "63 Main St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "02301",
"country_code": "US",
"telephone_number": "508-559-6699",
"fax_number": "508-559-5073",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "ANIKA",
"middle_name": "TENE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-16",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35.141435",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "265368",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174859425",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "W1508",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447277355",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.