Michael J Moore, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

036101366 Issued in IL

Practice address

133 E Brush Hill Rd Ste 310
Elmhurst, IL 60126-5662

Phone

(331) 221-9003

Fax

(331) 221-2743

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in IL, IA, NC3 enrollments

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 3

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine

Education

Johns Hopkins University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Genesis Health SystemGroup PAC ID 6103829338, 262 clinicians

Carteret County General Hospital CorporationGroup PAC ID 7517877517, 118 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
• Carteret General Hospital Hospital, Morehead City, NC, CCN 340142

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmoore41809@direct.edward.org
• Direct secure messaging: mmoore1073212@direct.unitypoint.org
• Direct secure messaging: mmoore3934712@direct.trinity-health.org
• Direct secure messaging: michael.moore@direct.lmh.org

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.

• Carteret County General Hospital Corporation

  • General Acute Care Hospital
  • Morehead City, NC
  • NPI 1760479331
  Medicare reassignment Care Compare group NPD
• Genesis Health System

  • Surgery Physician
  • Davenport, IA
  • NPI 1528616901

  Pulmonary Disease

  Medicare reassignment Care Compare group NPD
• Carle Health Care Incorporated

  • Internal Medicine Physician
  • Urbana, IL
  • NPI 1154653947

  Pulmonary Disease

  Medicare reassignment NPD
• Elmhurst Memorial Healthcare

  • Multi-Specialty Clinic/Center
  • Elmhurst, IL
  • NPI 1457493454
  Medicare reassignment NPD
• Methodist Medical Center of Illinois

  • Rehabilitation Hospital Unit
  • Peoria, IL
  • NPI 1982656575
  Medicare reassignment NPD
• Trinity Medical Center

  • Emergency Medicine Physician
  • Rock Island, IL
  • NPI 1568414134

  Critical Care Medicine

  Medicare reassignment NPD
• Caldwell Memorial Hospital Inc

  • Hospitalist Physician
  • Lenoir, NC
  • NPI 1487694352

  IL, Pulmonary Disease

  Medicare reassignment NPD
• Caldwell Memorial Hospital, Inc

  • Cardiovascular Disease Physician
  • Lenoir, NC
  • NPI 1477839108

  Critical Care Medicine

  Medicare reassignment NPD
• Covenant Medical Center Inc

  • Family Medicine Physician
  • Waterloo, IA
  • NPI 1548288160
  Medicare reassignment NPD
• Northwest Iowa Hospital Corporation

  • Emergency Medical Services (Emergency Medicine) Physician
  • Sioux City, IA
  • NPI 1215962550

  IL

  Medicare reassignment NPD
• Trinity Regional Medical Center

  • Emergency Medicine Physician
  • Fort Dodge, IA
  • NPI 1073594156

  IL

  Medicare reassignment NPD
• Genesis Health System

  • General Acute Care Hospital
  • Silvis, IL
  • NPI 1427132604
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carteret County General Hospital Corporation

  • General Acute Care Hospital
  • Morehead City, NC
  • NPI 1760479331
  Care Compare affiliation
• Genesis Health System

  • General Acute Care Hospital
  • Davenport, IA
  • NPI 1972542264
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1285668772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 WINFIELD RD FL 4",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605554025",
            "telephone_number": "331-221-6377",
            "fax_number": "331-221-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E BRUSH HILL RD STE 310",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265662",
            "telephone_number": "331-221-9003",
            "fax_number": "331-221-2743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 W 4th St Ste 2001",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660441345",
            "country_code": "US",
            "telephone_number": "785-505-3205",
            "fax_number": "785-505-5261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 W 4th St Ste 2050",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660441333",
            "country_code": "US",
            "telephone_number": "785-505-3205",
            "fax_number": "785-505-5261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036101366",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036101366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmoore41809@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "133 E Brush Hill Rd Ste 310",
            "city": "Elmhurst",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601265662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.moore@direct.lmh.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1130 W 4th St Ste 2001",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660441345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.moore@direct.lmh.org",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1130 W 4th St Ste 2050",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660441333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Abrar Mohiuddin, DMD
• Sahar Fatima Mohiuddin
• Molly Monk, BCBA
• Kristine Lynette Montero Nichols, APN-CNP
• Eric Michael Montminy, MD
• Shirley J Moore, APN, CNM
• Anna Gilreath Moorhead, DMD
• Mary Moreno
• Debra Morey, OTR/L
• Dana Morgan, MS CCC-SLP

• Pulmonary Disease Physician in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Pulmonary Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.

Verify at the official NPI Registry.