Individual provider Active NPI

Todd Anthony Moore, MD

  • Hematology & Oncology Physician
  • Pinehurst, NC
National Provider Identifier
1225014178
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
2009-00284 Issued in NC
Practice address
220 Page Rd
Pinehurst, NC 28374-8748
Phone
(910) 715-3000
Fax
(910) 715-3501
NPI assigned
Dec 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 2009-00284 NC Primary

Addresses

Primary practice location

220 Page Rd
Pinehurst, NC 28374-8748

Mailing address

475 E Indiana Ave
Southern Pines, NC 28387-6517
Phone (910) 691-2238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20090511000580 NC Practitioner - Hematology/OncologyPractitioner - Medical OncologyPractitioner - Internal Medicine 1153425244 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine, Medical Oncology
Education
University of Mississippi School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Medical Park Dr
Suite 110
Concord, NC 28025-2966
Phone (704) 403-1370

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc Hematology & Oncology CurrentSince Dec 23, 2020 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Dec 23, 2020 Accepting new patients
Pinehurst Medical Clinic, Inc. CurrentSince Mar 23, 2009 Accepting new patients
Firsthealth of the Carolinas, Inc. Current Accepting new patients
Firsthealth of the Carolinas, Inc. CurrentSince Mar 23, 2009 Accepting new patients
Pinehurst Medical Clinic, Inc. Hematology & Oncology CurrentSince Mar 23, 2009 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Medical Oncology Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Sep 27, 2022 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Hematology & Oncology CurrentSince Sep 27, 2022 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Hematology & Oncology Past Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients

Locations

945 N 5th St
Albemarle, NC 28001
Phone (980) 323-7790

100 Medical Park Dr
Ste 110
Concord, NC 28025
Phone (704) 403-1370

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211

220 Page Rd
Pinehurst, NC 28374
Phone (910) 715-3500

251 Campground Rd
West End, NC 27376
Phone (910) 715-6000

Interoperability endpoints

  • Direct secure messaging: tmoore87323@capefearvalley.direct-ci.com
  • Direct secure messaging: tmoore1054615@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 11

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.

Hospital & facility affiliations 10

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1225014178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 E INDIANA AVE",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283876517",
            "telephone_number": "910-691-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 PAGE RD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748748",
            "telephone_number": "910-715-3000",
            "fax_number": "910-715-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TODD",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2009-00284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.