Individual provider Active NPI

Andy Moore, M.D.

  • Family Medicine Physician
  • Falls Church, VA
National Provider Identifier
1487016051
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101272220 Issued in VA
Practice address
502 W Broad St Ste 2
Falls Church, VA 22046-3206
Phone
(571) 421-8431
NPI assigned
Mar 23, 2016
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101272220 VA Primary

Addresses

Primary practice location

502 W Broad St Ste 2
Falls Church, VA 22046-3206

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700

Other practice location 1

9715 Liberia Ave
Manassas, VA 20110-5837
Phone (571) 229-1797

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VAExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210714002362 DC Practitioner - Family Practice 6305182411 Reassigns benefits to 1 organization
I20210715001546 VA Practitioner - Family PracticePractitioner - Emergency Medicine 6305182411 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101272220VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Medical Services, LLC CurrentSince Nov 1, 2025 Accepting new patients
Capital Healthcare PC Dba Allcare Family Medicine Current Accepting new patients
Holistic Medical Services, LLC CurrentSince Nov 1, 2025 Accepting new patients
Capital Healthcare PC CurrentSince Mar 23, 2022 Accepting new patients

Locations

43150 Broadlands Center Plz
Ste 184
Broadlands, VA 20148
Phone (703) 723-7110

4167 Merchant Plz
Woodbridge, VA 22192
Phone (703) 878-8800

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1487016051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W BROAD ST STE 2",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463206",
            "telephone_number": "571-421-8431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9715 Liberia Ave",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201105837",
            "country_code": "US",
            "telephone_number": "571-229-1797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101272220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "9715 Liberia Ave",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201105837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.