Active NPI
Justin R Moore, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- ME155579
- Practice address
- 1350 Hickory St
Melbourne, FL 32901-3224 - Phone
- (321) 434-4225
- NPI assigned
- Jul 23, 2007
- Last updated
- Jun 3, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 35.127204 | OH | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME155579 | FL | Primary |
Addresses
Primary practice location
1350 Hickory St
Melbourne, FL 32901-3224
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 434-4225
Other practice location 1
3535 Pentagon Blvd
Beavercreek, OH 45431-1705
Phone (937) 702-4024
Other practice location 2
100 Medical Center Dr
Springfield, OH 45504-2687
Phone (937) 523-4147
Other practice location 3
12920 US Highway 1 Ste A
Sebastian, FL 32958-3772
Phone (772) 388-8322
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122863800 | Medicaid | FL | |
| 0094481 | Medicaid | OH | |
| VI326 | Other | FL | MEDICARE HF |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, ND, VA, SC, IL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401
555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000
699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3562
8745 N Wickham Rd
Melbourne, FL 32940-5997
Phone (321) 434-5162
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME155579 | FL | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Alexius Medical Center | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Health First Medical Group, LLC | Critical Care Medicine | Current | Accepting new patients |
| St. Alexius Medical Center | Current | Accepting new patients | |
| RMH Medical Group LLC | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Promedica Central Physicians | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Trihealth G LLC | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Critical Care Medicine | Current | Accepting new patients |
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Inpatient Medical Services, Inc. | Current | Accepting new patients | |
| Steward Medical Group, Inc. | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| 4M Hospitalist Services, LLC | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| RMH Medical Group LLC | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Critical Care Medicine | Current | Accepting new patients |
| Promedica Central Physicians | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Trihealth H LLC | Critical Care Medicine | Current | Accepting new patients |
| Usacs Critical Care Medicine Services of Ohio, LLC | Critical Care Medicine | Current | Accepting new patients |
| Trihealth G, LLC | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Triven Health | Past | Accepting new patients | |
| Meritra Physicians LLC | Past | Accepting new patients | |
| Camden Clark Memorial Hospital Corporation | Past | Accepting new patients | |
| Stewart and Stewart a Medical Corporation | Past | Accepting new patients |
Locations (25 of 29)
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771
12920 US Highway 1
Ste A
Sebastian, FL 32958
Phone (772) 228-9808
3745 11th Cir
Ste 105
Vero Beach, FL 32960
Phone (772) 564-2485
120 NE Glen Oak Ave
Ste 400
Peoria, IL 61603
Phone (309) 671-3519
815 Main St
Ste A1
Peoria, IL 61602
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
9 Galen St
Watertown, MA 02472
Phone (617) 562-5413
900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005
1003 Bellefontaine Ave
Ste 150
Lima, OH 45804
Phone (419) 998-8207
10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206
6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606
100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
14 Richland Medical Park Dr
Ste 320
Columbia, SC 29203
Phone (803) 434-1663
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- justin.moore.1@15594.direct.athenahealth.com
- jmoore81057@directmcleodehealth.org
- jmoore158366@epicdirect.hf.org
Organizations & group practices 30
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.
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Critical Care Medicine
-
dba Cbo MRMC Emergency
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
Critical Care Medicine
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
Critical Care Medicine
-
- Internal Medicine Physician
- Akron, OH
- NPI 1508288531
-
- Internal Medicine Physician
- Hudson, OH
- NPI 1093756314
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
-
- Family Medicine Physician
- Toledo, OH
- NPI 1043270150
-
dba Sentara RMH Medical Group
- General Practice Physician
- Rockingham, VA
- NPI 1669844908
-
dba CHI St. Alexius Health Clinics
- Specialist
- Bismarck, ND
- NPI 1205868429
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1295862944
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Palm Bay Hospital
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1235339870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554306",
"telephone_number": "321-434-4225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 HICKORY ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013224",
"telephone_number": "321-434-4225"
}
],
"practiceLocations": [
{
"address_1": "3535 Pentagon Blvd",
"address_purpose": "LOCATION",
"city": "Beavercreek",
"state": "OH",
"postal_code": "454311705",
"country_code": "US",
"telephone_number": "937-702-4024",
"fax_number": "937-702-4035",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OH",
"postal_code": "455042687",
"country_code": "US",
"telephone_number": "937-523-4147",
"fax_number": "937-523-4952",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12920 US Highway 1 Ste A",
"address_purpose": "LOCATION",
"city": "Sebastian",
"state": "FL",
"postal_code": "329583772",
"country_code": "US",
"telephone_number": "772-388-8322",
"fax_number": "772-388-8323",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "JUSTIN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-23",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "OH",
"license": "35.127204",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "ME155579",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122863800",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0094481",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE HF",
"identifier": "VI326",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.