Individual provider Active NPI

Richard Anthony Moore, M.D.

  • Internal Medicine Physician
  • Providence, RI
National Provider Identifier
1124055447
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD20015 Issued in RI
Practice address
148 W River St Ste 22B
Providence, RI 02904-2628
Phone
(401) 572-3887
Fax
(401) 865-6192
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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 MD20015 RI Primary

Addresses

Primary practice location

148 W River St Ste 22B
Providence, RI 02904-2628

Mailing address

148 W River St Ste 22B
Providence, RI 02904-2628
Phone (401) 572-3887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH, RI3 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
I20031122000028 MA Practitioner - Internal Medicine 6800790650 Reassigns benefits to 2 organizations
I20160502000450 NH Practitioner - Internal Medicine 6800790650 Reassigns benefits to 1 organization
I20251024003348 RI Practitioner - Internal Medicine 6800790650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

148 W River St
Suite 22B
Providence, RI 02904-2628
Phone (401) 572-3887

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Warwick, RI, CCN 417036
  • Saint Elizabeth Home Care (Cathleen Naughton Associates) Home health agency, Warwick, RI, CCN 417038
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD20015RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince Oct 1, 2014 Accepting new patients
Steward Medical Group, Inc CurrentSince Feb 1, 2013 Accepting new patients
Steward Medical Group, Inc CurrentSince Feb 1, 2013 Accepting new patients
Catholic Medical Center CurrentSince Mar 1, 2016 Accepting new patients
Richard a Moore MD Internal Medicine LLC Internal Medicine CurrentSince Jul 31, 2025 Accepting new patients
Catholic Medical Center CurrentSince Mar 1, 2016 Accepting new patients
Prima Care, PC CurrentSince Oct 1, 2014 Accepting new patients
Southcoast Physicians Group, Inc. Internal Medicine Past Accepting new patients
Truesdale Medical Partners, LLC PastSince Apr 30, 2003 Accepting new patients
Brockton Hospital, Inc. Past Accepting new patients
Brockton Hospital, Inc. Past Accepting new patients
Signature Healthcare Medical Group Inc Internal Medicine Past Accepting new patients
Cogent Healthcare of Brockton, PC Internal Medicine Past Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

1030 President Ave
Fall River, MA 02720
Phone (508) 235-6427

1030 President Ave
Ste 107
Fall River, MA 02720
Phone (508) 676-3411

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

181 Corliss Ln
Colebrook, NH 03576
Phone (603) 237-8652

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

148 W River St
Ste 22B
Providence, RI 02904
Phone (401) 572-3887

Interoperability endpoints

  • Direct secure messaging: richard.moore.1@12737.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1124055447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 W RIVER ST STE 22B",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042628",
            "telephone_number": "401-572-3887",
            "fax_number": "401-865-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 W RIVER ST STE 22B",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042628",
            "telephone_number": "401-572-3887",
            "fax_number": "401-865-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "RICHARD",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD20015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.