Individual provider Active NPI

Adam Randall Moeck

  • Diagnostic Radiology Physician
  • Fort Campbell, KY
National Provider Identifier
1134515059
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101260925 Issued in VA
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

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20240209001844 MO Practitioner - Diagnostic Radiology 7012212178 Reassigns benefits to 1 organization
I20240216000173 IL Practitioner - Diagnostic Radiology 7012212178 Reassigns benefits to 1 organization
I20240311003369 MI Practitioner - Diagnostic Radiology 7012212178 Reassigns benefits to 1 organization
I20241101001840 TN Practitioner - Diagnostic Radiology 7012212178 Reassigns benefits to 5 organizations
I20250117003240 WV Practitioner - Diagnostic Radiology 7012212178 Reassigns benefits to 1 organization
I20250609000321 VA Practitioner - Diagnostic Radiology 7012212178 Reassigns benefits to 5 organizations

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
Hurley Medical CenterGroup PAC ID 2961308481, 336 clinicians
Radiology Associates of Southwest LouisianaGroup PAC ID 0941243562, 98 clinicians
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians
Greensboro Radiology PAGroup PAC ID 8729074901, 236 clinicians

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

LicenseStateTypeSpecialty
0101260925VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Dec 11, 2024 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Jan 11, 2026 Accepting new patients
Hurley Medical Center CurrentSince Feb 5, 2024 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Sep 22, 2024 Accepting new patients
Specialists in Medical Imaging SC Diagnostic Radiology CurrentSince Nov 17, 2024 Accepting new patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Blessing Hospital CurrentSince Mar 1, 2024 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Sep 7, 2024 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Jul 14, 2025 Accepting new patients
Blessing Hospital CurrentSince Mar 1, 2024 Accepting new patients
Pathology Associates Inc PC Current Accepting new patients
Hurley Medical Center Current Accepting new patients
Hurley Medical Center Diagnostic Radiology CurrentSince Feb 5, 2024 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Jun 24, 2024 Accepting new patients
West Virginia University Medical Corporation Diagnostic Radiology CurrentSince Dec 11, 2024 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

  • FHIR API: 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.

View all 16

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.