Active NPI
John David Moore, MD
- Anesthesiology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 110519
- Practice address
- 3015 N Ballas Rd
Dept Anesthesiology
Saint Louis, MO 63131-2329 - Phone
- (800) 862-9980
- Fax
- (314) 362-1185
- NPI assigned
- Sep 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 110519 | MO | Primary |
Addresses
Primary practice location
3015 N Ballas Rd
Dept Anesthesiology
Saint Louis, MO 63131-2329
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Phone (800) 862-9980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204739510 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3015 N Ballas Rd
Dept of Anesthesiology
St Louis, MO 63131-2329
Phone (314) 996-5000
901 E 5TH St
Deptartment of Anesthesiology
Washington, MO 63090-3127
Phone (636) 239-4100
Hospital & facility affiliations
- Missouri Baptist Medical Center
- Mercy Hospital Washington
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.2 of 100
- Quality
- 71.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Anesthesia Providers S.C | Anesthesiology | Current | Accepting new patients |
| Midwest Anesthesia Associates, P.C. | Current | Accepting new patients | |
| Western Anesthesiology Associates, Inc. | Anesthesiology | Current | Accepting new patients |
| Washington University | Current | Accepting new patients | |
| Washington University | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Past | Accepting new patients | |
| Mid-Missouri Anesthesia Consultants PC | Anesthesiology | Past | Accepting new patients |
Locations
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
2 Memorial Dr
Alton, IL 62002
Phone (618) 462-0710
4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750
15945 Clayton Rd
Ste 220CLAY
Ballwin, MO 63011
Phone (636) 239-8097
339 Consort Dr
Ballwin, MO 63011
Phone (636) 386-7222
2 Progress Point Pkwy
O Fallon, MO 63368
Phone (636) 344-1000
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
1 Barnes Hsp Plz
Saint Louis, MO 63110
Phone (314) 273-4966
660 S Euclid Ave
#8054
Saint Louis, MO 63110
Phone (314) 286-1045
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
901 Patients First Dr
Ste 108
Washington, MO 63090
Phone (636) 390-1715
Interoperability endpoints
- jmoore135567@direct.carenet.org
- jmoore91060@directc.mercy.net
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.
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1528005642
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1275646754
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1962442475
-
- Rural Health Clinic/Center
- Washington, MO
- NPI 1104912997
-
- Anesthesiology Physician
- Jefferson City, MO
- NPI 1326091059
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1396731774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7412011",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606742011",
"telephone_number": "800-862-9980",
"fax_number": "314-362-1185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 N BALLAS RD",
"address_2": "DEPT ANESTHESIOLOGY",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631312329",
"telephone_number": "800-862-9980",
"fax_number": "314-362-1185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JOHN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2025-04-17",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "110519",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204739510",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "3015 N Ballas Rd",
"address_2": "Dept Anesthesiology",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631312329",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.