Individual provider Active NPI

Blake E Moore, MD

  • Orthopaedic Surgery Physician
  • Virginia Beach, VA
National Provider Identifier
1326215518
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101255929 Issued in VA
Practice address
1975 Glenn Mitchell Dr Ste 200
Virginia Beach, VA 23456-0167
Phone
(757) 321-3300
Fax
(757) 321-3330
NPI assigned
May 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X UID441344 PA
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 0101255929 VA
Orthopaedic Surgery Physician 207X00000X 0101255929 VA Primary

Addresses

Primary practice location

1975 Glenn Mitchell Dr Ste 200
Virginia Beach, VA 23456-0167

Mailing address

230 Clearfield Ave
Suite 124
Virginia Beach, VA 23462-1832
Phone (757) 321-3383

Other practice location 1

1800 Camelot Dr
Suite 300
Virginia Beach, VA 23454-2440
Phone (757) 321-3383

Other identifiers 1

IdentifierTypeStateIssuer
C05501OtherVAMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20140716000322 VA Practitioner - Orthopedic Surgery 3870773757 Reassigns benefits to 1 organization
I20200925001825 NC Practitioner - Orthopedic Surgery 3870773757 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Albany Medical College of Union University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vann-Virginia Center for Orthopaedics PCGroup PAC ID 9133115397, shared by 4 NPIs, 65 clinicians

Practice addresses (Care Compare)

1800 Camelot Dr
Suite 300
Virginia Beach, VA 23454-2440
Phone (757) 321-3300

3102 N Croatan Hwy
Kill Devil Hills, NC 27948-9200
Phone (757) 321-3300

Hospital & facility affiliations

  • Centerwell Home Health (VA Beach) Home health agency, Virginia Beach, VA, CCN 497271
  • Sentara Home Care Services-Virginia Beach Home health agency, Chesapeake, VA, CCN 497747
  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057
  • The Outer Banks Hospital, Inc Hospital, Nags Head, NC, CCN 341324
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Sentara Albemarle Medical Center Hospital, Elizabeth City, NC, CCN 340109

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.32 of 100Reported as group
Quality
87.23
Promoting interoperability
100
Improvement activities
40
Cost
87.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)12
Melanoma (skin cancer) excision1-10
Removal of tissue13
Removal of nail tissue1-10
Removal or shaving of skin growth13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UID441344PAMDOrthopaedic Surgery Physician
0101255929VAMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vann-Virginia Center for Orthopaedics PC Orthopaedic Surgery CurrentSince Mar 1, 2021 Accepting new patients
Outer Banks Professional Services, LLC Orthopaedic Surgery CurrentSince Sep 10, 2020 Accepting new patients
Vann-Virginia Center for Orthopaedics PC Orthopaedic Surgery CurrentSince Aug 2, 2014 Accepting new patients
Vann-Virginia Center for Orthopaedics PC Orthopaedic Surgery CurrentSince Aug 2, 2014 Accepting new patients
Vann-Virginia Center for Orthopaedics PC Orthopaedic Surgery Past Accepting new patients
Vann-Virginia Center for Orthopaedics PC Orthopaedic Surgery Past Accepting new patients

Locations

3102 N Croatan Hwy
Kill Devil Hl, NC 27948
Phone (252) 261-9940

4800 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 449-4500

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

6160 Kempsville Cir
Ste 200B
Norfolk, VA 23502
Phone (757) 321-3383

1975 Glenn Mitchell Dr
Ste 200
Virginia Beach, VA 23456
Phone (757) 321-3383

1800 Camelot Dr
Ste 300
Virginia Beach, VA 23454
Phone (757) 321-3383

230 Clearfield Ave
Ste 124
Virginia Beach, VA 23462
Phone (757) 321-3383

Interoperability endpoints

  • Direct secure messaging: blakemooremd@aos.allscriptsdirect.net

Organizations & group practices 6

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 7

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": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1326215518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CLEARFIELD AVE",
            "address_2": "SUITE 124",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621832",
            "telephone_number": "757-321-3383",
            "fax_number": "757-321-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 GLENN MITCHELL DR STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560167",
            "telephone_number": "757-321-3300",
            "fax_number": "757-321-3330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Camelot Dr",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234542440",
            "country_code": "US",
            "telephone_number": "757-321-3383",
            "fax_number": "757-321-3332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BLAKE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "UID441344",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "VA",
            "license": "0101255929",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101255929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "C05501",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.