Individual provider Active NPI

Kendall Dee Moore, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Gainesville, FL
National Provider Identifier
1467891028
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
ME132778 Issued in FL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-5635
Phone
(352) 733-1233
NPI assigned
Jun 17, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME132778 FL
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X ME132778 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-5635

Mailing address

PO Box 100283
Gainesville, FL 32610-0283
Phone (352) 733-1233

Other practice location 1

8475 NW 39th Ave
Gainesville, FL 32606-5635
Phone (352) 627-0400

Other practice location 2

1147 NW 64th Ter
Gainesville, FL 32605-4218
Phone (352) 333-5159

Other practice location 3

7405 SW Archer Rd
Gainesville, FL 32608-4611
Phone (352) 627-0500

Other practice location 4

1515 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 265-0111

Other identifiers 2

IdentifierTypeStateIssuer
115899700MedicaidFL
021400900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240722000183 FL Order and Referring Only - Hospice/Palliative CarePractitioner - Hospice/Palliative Care 9537398011

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: kmoore107794@direct.shands.ufl.edu

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1467891028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100283",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100283",
            "telephone_number": "352-733-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326105635",
            "telephone_number": "352-733-1233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8475 NW 39th Ave",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326065635",
            "country_code": "US",
            "telephone_number": "352-627-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1147 NW 64th Ter",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326054218",
            "country_code": "US",
            "telephone_number": "352-333-5159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7405 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326084611",
            "country_code": "US",
            "telephone_number": "352-627-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-265-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KENDALL",
        "middle_name": "DEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME132778",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME132778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115899700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021400900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.