NPIMap

Individual provider Active NPI

Paul Beveridge Moore, M.D.

  • Interventional Cardiology Physician
  • Montgomery, AL
National Provider Identifier
1285668699
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
11047 Issued in AL
Practice address
273 Winton M Blount Loop
Montgomery, AL 36117-3507
Phone
(334) 280-1500
Fax
(334) 280-1600
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 11047 AL
Nuclear Cardiology Physician 207UN0901X 11047 AL
Interventional Cardiology Physician 207RI0011X 11047 AL Primary

Addresses

Primary practice location

273 Winton M Blount Loop
Montgomery, AL 36117-3507

Mailing address

PO Box 241587
Montgomery, AL 36124-1587
Phone (334) 280-1500

Other identifiers 4

IdentifierTypeStateIssuer
17844MedicaidAL
11047OtherALMEDICAL LICENSE
051007015OtherALBLUE SHIELD PROVIDER #
051017844OtherALBLUE SHIELD PROVIDER #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paul.moore.1@11015.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20060914000231 AL Practitioner - Interventional CardiologyPractitioner - Internal Medicine 5698779130 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
University of Virginia School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

199 Hwy 231 N
Troy, AL 36081-1766
Phone (334) 280-1500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.05 of 100Reported as group
Quality
65.12
Promoting interoperability
100
Improvement activities
40
Cost
71.71

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
Quality
64.43
Promoting interoperability
100
Improvement activities
40
Cost
78.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11047ALMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Cardiovascular Disease CurrentSince Apr 1, 2024 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Cardiovascular Disease CurrentSince Apr 1, 2024 Accepting new patients
Jackson Hospital and Clinic, Inc. Current Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince May 11, 2012 Accepting new patients
Montgomery Cardiovascular Associates, P.C. Cardiovascular Disease CurrentSince Nov 15, 1996 Accepting new patients
Jackson Hospital and Clinic Inc. Cardiovascular Disease CurrentSince May 11, 2012 Accepting new patients
The Health Care Authority for Baptist Health an Affiliate of Uabhs Past Accepting new patients

Locations

2055 E South Blvd
Ste 202
Montgomery, AL 36116
Phone (205) 366-1605

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

273 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 280-1511

1722 Pine St
Ste 503
Montgomery, AL 36106
Phone (334) 240-2337

199 Highway 231 N
Troy, AL 36081
Phone (334) 246-4774

277 Huntress St
Ste 203
Wetumpka, AL 36092

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01A0
  • bcbs alabama network 01G0
  • bcbs alabama network 01B0
  • bcbs alabama network 01E0

Interoperability endpoints

  • Direct secure messaging: paul.moore.1@11015.direct.athenahealth.com
  • Direct secure messaging: paul.moore.2@11015.direct.athenahealth.com

Organizations & group practices 7

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 5

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1285668699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241587",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361241587",
            "telephone_number": "334-280-1500",
            "fax_number": "334-280-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 WINTON M BLOUNT LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173507",
            "telephone_number": "334-280-1500",
            "fax_number": "334-280-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "PAUL",
        "middle_name": "BEVERIDGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-03-07",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "11047",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "AL",
            "license": "11047",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AL",
            "license": "11047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17844",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "11047",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "051007015",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "051017844",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paul.moore.1@11015.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "273 Winton M Blount Loop",
            "city": "Montgomery",
            "state": "AL",
            "country_code": "US",
            "postal_code": "361173507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.