Individual provider Active NPI

Kristine Reeser Moore, MD

  • Emergency Medicine Physician
  • Tucson, AZ
National Provider Identifier
1295766368
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
28756 Issued in AZ
Practice address
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone
(520) 469-8014
Fax
(520) 469-8009
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 28756 AZ Primary

Addresses

Primary practice location

6200 N la Cholla Blvd
Tucson, AZ 85741-3529

Mailing address

6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 469-8014

Other identifiers 1

IdentifierTypeStateIssuer
877471OtherAZAHCCCS ID #

Other names 1

  • Kristine Ann Reeser Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040809000376 AZ Practitioner - Emergency Medicine 5890767131 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Harvard Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sierra Estrellas Emergency Physicians LLCGroup PAC ID 5193002954, 38 clinicians
Sound Physicians Emergency Medicine of Arizona IncGroup PAC ID 5799066650, 41 clinicians
Ies Arizona PLLCGroup PAC ID 7810382884, 49 clinicians

Practice addresses (Care Compare)

2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000

350 N Wilmot Rd
Tucson, AZ 85711-2602
Phone (520) 873-3000

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 327-5461

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.68 of 100Reported as group
Quality
92.69
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28756AZMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ies Arizona PLLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Progressive Medical Associates PLLC Emergency Medicine CurrentSince Mar 25, 2021 Accepting new patients
Sierra Estrellas Emergency Physicians LLC Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
Ies Obs Arizona PLLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Northwest HBP Medical Services LLC Emergency Medicine CurrentSince Sep 1, 2018 Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Northwest Tucson Emergency Physicians Past Accepting new patients

Locations

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

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 2

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1295766368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413529",
            "telephone_number": "520-469-8014",
            "fax_number": "520-469-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413529",
            "telephone_number": "520-469-8014",
            "fax_number": "520-469-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESER MOORE",
        "first_name": "KRISTINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "28756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS ID #",
            "identifier": "877471",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "REESER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.