Individual provider Active NPI

Leon Elwin Moores, MD, DSC

  • Neurological Surgery Physician
  • Fairfax, VA
National Provider Identifier
1245324185
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
0101255531 Issued in VA
Practice address
3023 Hamaker CT Ste 300
Fairfax, VA 22031-2240
Phone
(703) 848-6618
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD31653 DC
Neurological Surgery Physician 207T00000X 0101255531 VA Primary

Addresses

Primary practice location

3023 Hamaker CT Ste 300
Fairfax, VA 22031-2240

Mailing address

203 Kent Oaks Way
Gaithersburg, MD 20878-5614
Phone (301) 295-2427

Other practice location 1

National Naval Medical Center
8901 Wisconsin Ave
Bethesda, MD 20889-0001
Phone (202) 884-3020

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmoores109309@soc.inova.org Health Information Exchange (HIE) Pediatric Specialists of Virginia, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20070131000260 DC Practitioner - Pediatric MedicinePractitioner - Neurosurgery 5799786976 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD31653DCMDNeurological Surgery Physician
0101255531VAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Specialists of Virginia, LLC CurrentSince Jan 1, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Children's Hospital Past Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

22505 Landmark Ct
Ste 225
Ashburn, VA 20148
Phone (703) 726-1616

3023 Hamaker Ct
Ste 300
Fairfax, VA 22031
Phone (703) 848-6627

3023 Hamaker Ct
Ste 600
Fairfax, VA 22031
Phone (703) 839-8733

3023 Hamaker Ct
Ste 400
Fairfax, VA 22031
Phone (571) 226-8380

8503 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 208-1741

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1245324185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 KENT OAKS WAY",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785614",
            "telephone_number": "301-295-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 HAMAKER CT STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312240",
            "telephone_number": "703-848-6618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "National Naval Medical Center",
            "address_2": "8901 Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208890001",
            "country_code": "US",
            "telephone_number": "202-884-3020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORES",
        "first_name": "LEON",
        "middle_name": "ELWIN",
        "name_prefix": "Dr.",
        "credential": "MD, DSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "DC",
            "license": "MD31653",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "VA",
            "license": "0101255531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmoores109309@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Pediatric Specialists of Virginia, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3023 Hamaker Ct Ste 300",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220312240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.