Active NPI
Adam Randall Moeck
- Diagnostic Radiology Physician
- Fort Campbell, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101260925
- Practice address
- 650 Joel Dr
Fort Campbell, KY 42223-5318 - Phone
- (123) 456-7891
- NPI assigned
- Apr 7, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0101260925 | VA | Primary |
Addresses
Primary practice location
650 Joel Dr
Fort Campbell, KY 42223-5318
Mailing address
650 Joel Dr
Fort Campbell, KY 42223-5318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL, MI, TN, WV, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- West Virginia University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Clarksville, TN 37042
Phone (906) 449-3000
Knoxville, TN 37909
Phone (906) 449-3000
1 Hurley PLZ
Flint, MI 48503-5902
Phone (810) 262-6744
101 Iroquois CT
Nashville, TN 37205-3809
Phone (312) 724-8477
1045 Silo Dr
Clarksville, TN 37042-1676
Phone (337) 439-4706
2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 264-1000
3905 Wallace LN
Nashville, TN 37215-2305
Phone (404) 354-4430
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101260925 | VA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Louisville Radiology Imaging Consultants, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Hurley Medical Center | Current | Accepting new patients | |
| Imaging Associates of Michigan PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Specialists in Medical Imaging SC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of Southwest Louisiana | Diagnostic Radiology | Current | Accepting new patients |
| Blessing Hospital | Current | Accepting new patients | |
| Columbus Radiology Corp | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| Blessing Hospital | Current | Accepting new patients | |
| Pathology Associates Inc PC | Current | Accepting new patients | |
| Hurley Medical Center | Current | Accepting new patients | |
| Hurley Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Greensboro Radiology, PA | Diagnostic Radiology | Current | Accepting new patients |
| West Virginia University Medical Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of Canton, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Locations
1937 Momentum Pl
Chicago, IL 60689
1005 Broadway St
Quincy, IL 62301
4800 Maine St
Quincy, IL 62305
Phone (217) 214-0444
801 S Main St
Clinton, IN 47842
Phone (765) 832-1212
1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100
24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237
1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400
3500 Franciscan Way
Michigan City, IN 46360
Phone (219) 852-1524
701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200
1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-2026
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250
1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000
850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595
101 Medical Dr
Hannibal, MO 63401
100 Medical Dr
Hannibal, MO 63401
103 E Commercial St
Kahoka, MO 63445
Phone (660) 727-3377
1331 N Elm St
Ste 200
Greensboro, NC 27401
Phone (336) 274-4285
111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232
5475 Rings Rd
Ste 300
Dublin, OH 43017
Phone (614) 451-2151
2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
300 S Preston St
Ranson, WV 25438
Phone (304) 728-1600
Interoperability endpoints
- https://fhir.blessinghospital.com/R4/open-Prod
Organizations & group practices 16
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.
-
dba Hurley OB/GYN Research & Education
- Obstetrics & Gynecology Physician
- Flint, MI
- NPI 1982630844
-
- Diagnostic Radiology Physician
- Alexandria, LA
- NPI 1033215710
TN
-
- Diagnostic Radiology Physician
- Olympia Fields, IL
- NPI 1841687951
TN, VA
-
dba University Health Associates
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Owensboro, KY
- NPI 1639115447
VA
-
dba Blessing Health Monroe City
- Rural Health Clinic/Center
- Monroe City, MO
- NPI 1013683507
-
- Plastic and Reconstructive Surgery Physician
- Flint, MI
- NPI 1689345761
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Berkeley Medical Center
- General Acute Care Hospital
- Martinsburg, WV
- NPI 1457389249
-
dba UP Health System Marquette
- General Acute Care Hospital
- Marquette, MI
- NPI 1568727048
-
- General Acute Care Hospital
- Flint, MI
- NPI 1598717480
-
- Medicare Defined Swing Bed Hospital Unit
- Ranson, WV
- NPI 1104242569
-
dba Jefferson Medical Center
- Critical Access Hospital
- Ranson, WV
- NPI 1891722377
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1154353993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1134515059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 JOEL DR",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "422235318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 JOEL DR",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "422235318",
"telephone_number": "123-456-7891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOECK",
"first_name": "ADAM",
"middle_name": "RANDALL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-07",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101260925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Campbell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.