Active NPI
Richard Anthony Moore, M.D.
- Internal Medicine Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD20015
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Saint Elizabeth Home Care (Cathleen Naughton Associates)
- The Miriam Hospital
- Rhode Island Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD20015 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prima Care, PC | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Catholic Medical Center | Current | Accepting new patients | |
| Richard a Moore MD Internal Medicine LLC | Internal Medicine | Current | Accepting new patients |
| Catholic Medical Center | Current | Accepting new patients | |
| Prima Care, PC | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Internal Medicine | Past | Accepting new patients |
| Truesdale Medical Partners, LLC | Past | 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
- 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.
-
- Internal Medicine Physician
- Providence, RI
- NPI 1134012719
Internal Medicine, RI
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1003692112
-
- Orthopaedic Surgery Physician
- Fall River, MA
- NPI 1194587287
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1063431286
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1770504599
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1942250436
Internal Medicine
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1508804949
Internal Medicine
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
Internal Medicine
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Warwick, RI
- NPI 1437114436
-
- Home Health Agency
- Warwick, RI
- NPI 1770537854
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.