Individual provider Active NPI

Andrew E Moore, MD

  • Diagnostic Radiology Physician
  • Merriam, KS
National Provider Identifier
1144842378
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
04-53107 Issued in KS
Practice address
5113 Perry LN
Merriam, KS 66203-4827
Phone
(505) 360-1424
NPI assigned
May 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 85340 WI
Diagnostic Radiology Physician 2085R0202X 04-53107 KS Primary

Addresses

Primary practice location

5113 Perry LN
Merriam, KS 66203-4827

Mailing address

5113 Perry LN
Merriam, KS 66203-4827

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amoore8525711@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250603001218 WI Practitioner - Diagnostic Radiology 2466876578 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of New Mexico School of Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7974 Uw Health CT
Middleton, WI 53562-5531

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85340WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jul 1, 2025 Accepting new patients
Richland Hospital CurrentSince Aug 10, 2025 Accepting new patients
Group Health Cooperative of South Central Wisconsin CurrentSince Jul 1, 2025 Accepting new patients
Fort Healthcare Inc Current Accepting new patients
Richland Hospital CurrentSince Aug 10, 2025 Accepting new patients
University of Wisconsin System Non Payroll CurrentSince Jul 1, 2025 Accepting new patients
Fort Healthcare Inc CurrentSince Jul 1, 2025 Accepting new patients
Fort Healthcare, Inc. CurrentSince Jul 1, 2025 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jul 1, 2025 Accepting new patients
University of Wisconsin System Non Payroll CurrentSince Jul 1, 2025 Accepting new patients

Locations

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766

6001 Research Park Blvd
Madison, WI 53719
Phone (608) 232-3171

1111 Highland Ave
Madison, WI 53705
Phone (608) 262-2181

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

333 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
  • Direct secure messaging: amoore8525711@direct.uwhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1144842378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 PERRY LN",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662034827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 PERRY LN",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662034827",
            "telephone_number": "505-360-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANDREW",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-11",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "85340",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "04-53107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amoore8525711@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "600 Highland Ave",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537928501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Merriam, KS

Sources for this page

Verify at the official NPI Registry.