Individual provider Active NPI

Anika Tene Moore, MD

  • Obstetrics & Gynecology Physician
  • Montgomery, OH
National Provider Identifier
1114119732
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.141435 Issued in OH
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

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1174859425MedicaidCA
W1508OtherCAMEDICARE GROUP PTAN
1447277355MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MA, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20100205000591 CA Practitioner - Obstetrics/Gynecology 1153464672 Reassigns benefits to 1 organization
I20161128000176 MA Practitioner - Obstetrics/Gynecology 1153464672
I20210715004281 OH Practitioner - Obstetrics/Gynecology 1153464672 Reassigns benefits to 2 organizations

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
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

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

LicenseStateTypeSpecialty
98138CAMDClinical Social Worker
265368MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth H LLC CurrentSince Jan 1, 2024 Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Oct 1, 2021 Accepting new patients
Community Health Centers of the Central Coast Inc CurrentSince Dec 20, 2010 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Oct 1, 2021 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

  • Direct secure messaging: dr.anika_moore@ogai.gwaydirect.com
  • Direct secure messaging: amoore394473@direct.uchealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.