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Individual provider Active NPI

Nicholas Maximilian Moore, MD

  • Vascular & Interventional Radiology Physician
  • Richmond, VA
National Provider Identifier
1467017343
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
0101270387 Issued in VA
Practice address
2810 N Parham Rd Ste 315
Richmond, VA 23294-4424
Phone
(804) 288-8327
NPI assigned
May 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 0101270387 VA Primary

Addresses

Primary practice location

2810 N Parham Rd Ste 315
Richmond, VA 23294-4424

Mailing address

2810 N Parham Rd Ste 315
Richmond, VA 23294-4424
Phone (804) 288-8327

Other practice location 1

1250 E Marshall St
Richmond, VA 23298-5051
Phone (804) 628-9789

Other practice location 2

8006 Discovery Dr Ste 303
Henrico, VA 23229-8600
Phone (804) 554-0102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250506000740 VA Practitioner - Interventional Radiology 7618201633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Virginia Commonwealth University, School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Radiology PCGroup PAC ID 9830142496, 52 clinicians
Aligned Interventional CenterGroup PAC ID 7911358759, 7 clinicians

Practice addresses (Care Compare)

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 288-8327

8006 Discovery Dr
Suite 303
Henrico, VA 23229-8600
Phone (804) 554-0102

Hospital & facility affiliations

  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069
  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067
  • Mary Immaculate Hospital Hospital, Newport News, VA, CCN 490041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101270387VAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Radiology P C Vascular & Interventional Radiology CurrentSince Jul 1, 2025 Accepting new patients
Aligned Interventional Center Vascular & Interventional Radiology CurrentSince Jul 1, 2025 Accepting new patients

Locations

8006 Discovery Dr
Ste 303
Henrico, VA 23229
Phone (804) 554-0102

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

8006 Discovery Dr
Ste 301
Richmond, VA 23229
Phone (804) 272-7064

2810 N Parham Rd
Ste 315
Richmond, VA 23294

Organizations & group practices 2

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1467017343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 N PARHAM RD STE 315",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944424",
            "telephone_number": "804-288-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 N PARHAM RD STE 315",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944424",
            "telephone_number": "804-288-8327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985051",
            "country_code": "US",
            "telephone_number": "804-628-9789",
            "fax_number": "804-828-5595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8006 Discovery Dr Ste 303",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232298600",
            "country_code": "US",
            "telephone_number": "804-554-0102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "NICHOLAS",
        "middle_name": "MAXIMILIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-06",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101270387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.