Individual provider Active NPI

Joshua Lee Moore, DPM

  • Podiatrist
  • Cleveland, OH
National Provider Identifier
1174885891
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC006340 Issued in PA
Practice address
6000 Rockside Woods Blvd N
Cleveland, OH 44131-2330
Phone
(216) 643-8090
NPI assigned
Jun 8, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC006340 PA Primary

Addresses

Primary practice location

6000 Rockside Woods Blvd N
Cleveland, OH 44131-2330

Mailing address

6000 Rockside Woods Blvd N
Independence, OH 44131-2330
Phone (216) 643-8090

Other practice location 1

7000 Euclid Ave
Cleveland, OH 44103-4003
Phone (216) 231-5612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231019001967 OH Practitioner - Podiatry 0941466825 Reassigns benefits to 1 organization
I20260602003432 MD Practitioner - Podiatry 0941466825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard S Cohen DPM PAGroup PAC ID 1153312400, 4 clinicians
Ksu Foot and Ankle ClinicGroup PAC ID 1254588684, 10 clinicians

Practice addresses (Care Compare)

3459 Saint Johns LN
Ellicott City, MD 21042-4015
Phone (410) 465-3101

6000 Rockside Woods Blvd N
Independence, OH 44131-2330
Phone (216) 520-1544

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue48
Removal or shaving of skin growth15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ksu Foot & Ankle Clinic Podiatrist CurrentSince Jul 17, 2023 Accepting new patients
Temple University of the Commonwealth System of Higher Education Past Accepting new patients
Care Alliance Past Accepting new patients

Locations

7000 Euclid Ave
Ste 101
Cleveland, OH 44103
Phone (216) 231-5612

7000 Euclid Ave
Cleveland, OH 44103
Phone (216) 231-5612

6000 Rockside Woods Blvd N
Independence, OH 44131
Phone (216) 231-5612

Interoperability endpoints

  • Direct secure messaging: joshua.moore.1@14723.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1174885891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 ROCKSIDE WOODS BLVD N",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312330",
            "telephone_number": "216-643-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 ROCKSIDE WOODS BLVD N",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441312330",
            "telephone_number": "216-643-8090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441034003",
            "country_code": "US",
            "telephone_number": "216-231-5612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JOSHUA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-08",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.