NPIMap

Individual provider Active NPI

Kelly Lynn Moorhead, M.D.

  • Internal Medicine Physician
  • Akron, OH
National Provider Identifier
1225020225
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-073029 Issued in OH
Practice address
470 White Pond Dr
Suite 100
Akron, OH 44320-1185
Phone
(330) 869-8530
Fax
(330) 869-8539
NPI assigned
Aug 17, 2005
Last updated
Dec 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-073029 OH Primary

Addresses

Primary practice location

470 White Pond Dr
Suite 100
Akron, OH 44320-1185

Mailing address

470 White Pond Dr
Suite 100
Akron, OH 44320-1185
Phone (330) 869-8530

Other identifiers 4

IdentifierTypeStateIssuer
9338635OtherOHPARTNERS PHYSICIAN GROUP MEDICARE GROUP #
2551671OtherOHPARTNERS PHYSICIAN GROUP MEDICAID GROUP #
1841239274OtherOHPARTNERS PHYSICIAN GROUP TYPE 2 NPI #
2269138MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041020000339 OH Practitioner - Internal Medicine 9638139165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wright State University Boonshoft School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeastern Ohio Medical Specialists IncGroup PAC ID 7810957347, 3 clinicians

Practice addresses (Care Compare)

470 White Pond Dr
Akron, OH 44320-1185
Phone (330) 869-8530

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.33 of 100Reported as individual
Quality
89.41
Promoting interoperability
98
Improvement activities
40
Cost
77.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-073029OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Ohio Medical Specialists Inc Internal Medicine CurrentSince Nov 26, 2001 Accepting new patients
Partners Physician Group Past Accepting new patients
Internal Medicine Specialists, Inc Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Internal Medicine Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients

Locations

470 White Pond Dr
Akron, OH 44320
Phone (844) 473-9522

470 White Pond Dr
Ste 100
Akron, OH 44320
Phone (330) 869-8530

470 White Pond Dr
Ste 8530
Akron, OH 44320

6693 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-6014

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16545/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/FGEEAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FGEEAA/Endpoint/FGEEAA

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 7

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1225020225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 WHITE POND DR",
            "address_2": "SUITE 100",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201185",
            "telephone_number": "330-869-8530",
            "fax_number": "330-869-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 WHITE POND DR",
            "address_2": "SUITE 100",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201185",
            "telephone_number": "330-869-8530",
            "fax_number": "330-869-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORHEAD",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-073029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP MEDICARE GROUP #",
            "identifier": "9338635",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP MEDICAID GROUP #",
            "identifier": "2551671",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP  TYPE 2 NPI #",
            "identifier": "1841239274",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2269138",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.