Marina Michelle Moore, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME167339 Issued in FL

Practice address

1000 36TH St
Vero Beach, FL 32960-4862

Phone

(772) 567-4311

NPI assigned

Oct 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, MD, FL3 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 3

Specialty

Obstetrics/Gynecology

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indian River Health Services IncGroup PAC ID 9234130329, 335 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4669/brand/1/csg/1/fhir/r4
• Direct secure messaging: marinamoore@mai.allscriptsdirect.net

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.

• Indian River Health Services Inc

  • Psychiatry Physician
  • Vero Beach, FL
  • NPI 1710933031
  Medicare reassignment Care Compare group NPD
• Chenango Memorial Hospital Inc

  • General Acute Care Hospital
  • Norwich, NY
  • NPI 1770593956
  Medicare reassignment NPD
• Clifton Springs Sanitarium Co

  • General Acute Care Hospital
  • Clifton Springs, NY
  • NPI 1366505463
  Medicare reassignment NPD
• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187
  Medicare reassignment NPD
• Medwell Womens Medical Services PLLC

  • Specialist
  • Brooklyn, NY
  • NPI 1073633574
  Medicare reassignment NPD
• Newark Wayne Community Hospital

  • General Acute Care Hospital
  • Newark, NY
  • NPI 1770671182
  Medicare reassignment NPD
• Rochester General Hospital

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1356412712

  Obstetrics & Gynecology

  Medicare reassignment NPD
• United Memorial Medical Center

  • General Acute Care Hospital
  • Batavia, NY
  • NPI 1902800352
  Medicare reassignment NPD
• Indian River Health Services Inc

  • Multi-Specialty Clinic/Center
  • Vero Beach, FL
  • NPI 1588298285

  Specialist

  NPD
• Chenango Memorial Hospital Inc

  • Durable Medical Equipment & Medical Supplies
  • Norwich, NY
  • NPI 1437818622
  NPD
• Chenango Memorial Hospital, Inc.

  • Family Medicine Physician
  • Norwich, NY
  • NPI 1467526889

  Obstetrics & Gynecology

  NPD
• James Louis Pfeiff

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Oneida, NY
  • NPI 1942379201

  Obstetrics & Gynecology

  NPD

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736640000000",
    "number": "1427200708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 S ORLANDO AVE",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 36TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604862",
            "telephone_number": "772-567-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MARINA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2025-01-12",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME167339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME167339",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerri Ann Moore-Dencause, LCSW
• Jaclyn M Moore, LPN
• Jennifer Moore, M.D.
• John Robert Moore, BCBA
• Kayla Moore
• Richard B Moore, MD PA
• Kendall Kirby Mora, ARNP
• Leah Morabito
• Viridiana Morales Martinez
• Christina Morales

• Obstetrics & Gynecology Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.