Individual provider Active NPI

Paul M Moore, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Bowling Green, KY
National Provider Identifier
1295734515
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
32916 Issued in KY
Practice address
350 Park St
Suite 210
Bowling Green, KY 42101-1784
Phone
(270) 796-3330
Fax
(270) 796-3338
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 32916 KY Primary

Addresses

Primary practice location

350 Park St
Suite 210
Bowling Green, KY 42101-1784

Mailing address

PO Box 2697
Bowling Green, KY 42102-7697
Phone (270) 745-1467

Other identifiers 1

IdentifierTypeStateIssuer
64329162MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20101123000797 KY Practitioner - Cardiac SurgeryPractitioner - Emergency MedicinePractitioner - Thoracic Surgery 3375739881 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Thoracic Surgery
Education
University of Wisconsin School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Health Corporation, Inc.Group PAC ID 5496667628, 268 clinicians
Bowling Green-Warren County Community Hospital CorporationGroup PAC ID 7719899947, 117 clinicians

Practice addresses (Care Compare)

250 Park St
Bowling Green, KY 42101-1760
Phone (270) 781-7178

350 Park St
Bowling Green, KY 42101-1784

421 US 31W Byp
Bowling Green, KY 42101-1775
Phone (270) 846-8902

825 2ND Ave
Bowling Green, KY 42101-1790

825 2ND Ave
Suite C1
Bowling Green, KY 42101-1791
Phone (270) 780-2690

825 2ND Ave E
Suite C2
Bowling Green, KY 42101-1786

Hospital & facility affiliations

  • The Medical Center (Bowling Green) Hospital, Bowling Green, KY, CCN 180013

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)36
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc CurrentSince Sep 1, 2023 Accepting new patients
T J Samson Community Hospital CurrentSince Jan 2, 2020 Accepting new patients
Commonwealth Health Corporation, Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Feb 28, 2025 Accepting new patients
Owensboro Health Medical Group, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Bowling Green-Warren County Community Hospital Corporation Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Dec 22, 2025 Accepting new patients
Bowling Green-Warren County Community Hospital Corporation CurrentSince Dec 22, 2025 Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince Feb 28, 2025 Accepting new patients
Commonwealth Health Corporation, Inc Current Accepting new patients
Bowling Green-Warren County Community Hospital Corporation Past Accepting new patients
Commonwealth Health Corporation Past Accepting new patients

Locations

723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421

350 Park St
Ste 210
Bowling Green, KY 42101
Phone (270) 796-2550

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

825 2nd Ave
Ste C1
Bowling Green, KY 42101
Phone (270) 780-2690

825 2nd Ave
Ste B1
Bowling Green, KY 42101
Phone (270) 843-8600

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

Organizations & group practices 12

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 1

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295734515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2697",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421027697",
            "telephone_number": "270-745-1467",
            "fax_number": "270-745-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PARK ST",
            "address_2": "SUITE 210",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011784",
            "telephone_number": "270-796-3330",
            "fax_number": "270-796-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "PAUL",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "KY",
            "license": "32916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64329162",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.