Active NPI
Moira Davenport, M.D.
- Sports Medicine (Emergency Medicine) Physician
- Pittsburgh, PA
National Provider Identifier
1295723989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Emergency Medicine) Physician
- License
- MD425442
- Practice address
- 1307 Federal St
2ND Floor
Pittsburgh, PA 15212-4769 - Phone
- (877) 660-6777
- Fax
- (412) 359-8055
- NPI assigned
- Oct 7, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | MD425442 | PA | Primary |
Addresses
Primary practice location
1307 Federal St
2ND Floor
Pittsburgh, PA 15212-4769
Mailing address
1307 Federal St
2ND Floor
Pittsburgh, PA 15212-4769
Phone (877) 660-6777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101904848 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 99 of 100
- Quality
- 95.9
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD425442 | PA | MD | Sports Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahn Emergency Group of Pittsburgh LTD. | Current | Accepting new patients | |
| New York University | Past | Accepting new patients |
Locations
320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1043635402
-
- Orthopaedic Surgery Physician
- New York, NY
- NPI 1124078373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484179200000",
"number": "1295723989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 FEDERAL ST",
"address_2": "2ND FLOOR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152124769",
"telephone_number": "877-660-6777",
"fax_number": "412-359-8055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 FEDERAL ST",
"address_2": "2ND FLOOR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152124769",
"telephone_number": "877-660-6777",
"fax_number": "412-359-8055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVENPORT",
"first_name": "MOIRA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-07",
"last_updated": "2017-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207PS0010X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Sports Medicine",
"state": "PA",
"license": "MD425442",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101904848",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.