Steven Shane Moore, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

41000273A Issued in IN

Practice address

13660 N 94TH Dr Ste F1
Peoria, AZ 85381-4232

Phone

(623) 974-0522

Fax

(623) 933-5787

NPI assigned

Jul 12, 2012

Last updated

Dec 22, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wickenburg Community Hospital Hospital, Wickenburg, AZ, CCN 031300

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/mXy5ruQtMW3KrdcgJMyfKw06O9IkfnI0/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shane Moore DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Peoria, AZ
  • NPI 1710470950
  Medicare reassignment NPD Authorized official
• Alliance Medical Specialists, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Buckeye, AZ
  • NPI 1902632664
  Medicare reassignment NPD
• Shane Moore DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Buckeye, AZ
  • NPI 1255228490
  NPD Authorized official
• Comet Anesthesia LLC

  • Anesthesiology Physician
  • Peoria, AZ
  • NPI 1700424363
  Authorized official Same address or phone
• Neo Matrix Anesthesia LLC

  • Anesthesiology Physician
  • Peoria, AZ
  • NPI 1699276881
  Authorized official Same address or phone
• Regenerative Foot & Ankle LLC

  • Ambulatory Surgical Clinic/Center
  • Peoria, AZ
  • NPI 1154822369
  Authorized official Same address or phone
• Dan Bangart PLC

  • Podiatrist
  • Peoria, AZ
  • NPI 1962689489
  NPD (past)
• Titan Medical Services, LLC

  • Vascular Surgery Physician
  • Peoria, AZ
  • NPI 1487281770
  NPD (past)

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

• Community Hospital Association, Inc.

  dba Wickenburg Community Hospital

  • Critical Access Hospital
  • Wickenburg, AZ
  • NPI 1841282852
  Care Compare affiliation

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1306101571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DR STE F1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814232",
            "telephone_number": "623-974-0522",
            "fax_number": "623-933-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DR STE F1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814232",
            "telephone_number": "623-974-0522",
            "fax_number": "623-933-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "STEVEN",
        "middle_name": "SHANE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-12",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "41000273A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhona Moonier, PTA
• Stephanie Mooningham
• Andrew Arthur Moore, DC
• Logan M Moore, P.T.
• Michelle Moore, OTR
• Saray Mora
• Cassidy Jean Morales, AG-ACNP-BC
• James P Moran, PT
• Tristan Bryce Moran, RBT
• Ruby Moreno

• Podiatrist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.