Individual provider Active NPI

Michael S Shoemaker-Moyle, M.D.

  • Nephrology Physician
  • Columbia, MO
National Provider Identifier
1376563510
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101251686 Issued in VA
Practice address
1 Hospital Dr
Ce 427
Columbia, MO 65212-1000
Phone
(573) 882-7991
Fax
(753) 884-4820
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101251686 VA Primary

Addresses

Primary practice location

1 Hospital Dr
Ce 427
Columbia, MO 65212-1000

Mailing address

1 Hospital Dr
Ce 427
Columbia, MO 65212-1000
Phone (573) 882-7991

Other identifiers 1

IdentifierTypeStateIssuer
1376563510MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MUDOCREFERRAL@direct.health.missouri.edu Direct Curators of the University of Missouri

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20160712000166 MO Practitioner - NephrologyPractitioner - Internal Medicine 9739277567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
State University of Ny Upstate Medical University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Curators of the University of MissouriGroup PAC ID 4486759560, 1,108 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Columbia, MO 65212-0001
Phone (573) 882-4141

Hospital & facility affiliations

  • DCI With JCMG Dialysis facility, Jefferson City, MO, CCN 262575
  • DCI - Columbia Home Dialysis Services Dialysis facility, Columbia, MO, CCN 262696
  • Dialysis Clinics, Inc - Osage Beach Dialysis facility, Osage Beach, MO, CCN 262542
  • University of Missouri Health Care Hospital, Columbia, MO, CCN 260141

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
58.17
Promoting interoperability
100
Improvement activities
40
Cost
75.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101251686VAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Curators of the University of Missouri CurrentSince Jun 24, 2016 Accepting new patients
The Curators of the University of Missouri CurrentSince Jun 24, 2016 Accepting new patients
University Internal Medicine Assoc LLP Past Accepting new patients

Locations

1 Hospital Dr
Columbia, MO 65201
Phone (573) 882-2568

1 Hospital Dr
#427
Columbia, MO 65212
Phone (573) 882-7991

3300 Lemone Industrial Blvd
Columbia, MO 65201
Phone (573) 443-1531

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

103 N Highway 54 E
Eldon, MO 65026
Phone (573) 392-2124

1014 Madison St
Jefferson Cty, MO 65101
Phone (573) 632-5510

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

54 Hospital Dr
Ste 225
Osage Beach, MO 65065
Phone (573) 302-2762

Organizations & group practices 3

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 3

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1376563510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "address_2": "CE 427",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652121000",
            "telephone_number": "573-882-7991",
            "fax_number": "753-884-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "address_2": "CE 427",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652121000",
            "telephone_number": "573-882-7991",
            "fax_number": "753-884-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER-MOYLE",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101251686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376563510",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
            "affiliation": "Y",
            "endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals.",
            "affiliationName": "Curators of the University of Missouri",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "1 Hospital Dr",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652015276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.