Vincent Paul Moore, MD, MPH

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME144253 Issued in FL

Practice address

7221 Engle Rd Ste 220
Fort Wayne, IN 46804-2233

Phone

(260) 469-8223

Fax

(260) 469-8201

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN, MI, OH3 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

Diagnostic Radiology

Education

University of Alabama School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry County Memorial HospitalGroup PAC ID 6002724085, 153 clinicians

Summit Radiology P CGroup PAC ID 0143295410, 101 clinicians

Greene County General HospitalGroup PAC ID 2961481544, 102 clinicians

Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians

X-Ray Physicians of Shelbyville PCGroup PAC ID 2264420215, 43 clinicians

Pacific Imaging Associates LLCGroup PAC ID 3577923499, 69 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marion General Hospital Hospital, Marion, IN, CCN 150011
• Adams Memorial Hospital Hospital, Decatur, IN, CCN 151330
• Kosciusko Community Hospital Hospital, Warsaw, IN, CCN 150133
• Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017
• The Orthopaedic Hospital of Lutheran Health Networ Hospital, Ft Wayne, IN, CCN 150168

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vmoore464192@direct.shands.ufl.edu

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.

• Greene County General Hospital

  • Critical Access Hospital
  • Linton, IN
  • NPI 1184695389
  Medicare reassignment Care Compare group NPD
• Henry County Memorial Hospital

  • Family Medicine Physician
  • New Castle, IN
  • NPI 1891570537
  Medicare reassignment Care Compare group NPD
• Summit Radiology P C

  • Diagnostic Radiology Physician
  • Fort Wayne, IN
  • NPI 1073584587

  MI, OH

  Medicare reassignment Care Compare group NPD
• X-Ray Physicians of Shelbyville PC

  • Diagnostic Radiology Physician
  • Shelbyville, IN
  • NPI 1144351347

  MI

  Medicare reassignment Care Compare group NPD
• Ella E M Brown Charitable Circle

  • Diagnostic Radiology Physician
  • Marshall, MI
  • NPI 1043660467

  IN

  Medicare reassignment Care Compare group NPD
• Pacific Imaging Associates LLC

  • Diagnostic Radiology Physician
  • Portland, OR
  • NPI 1265137574

  IN

  Medicare reassignment Care Compare group NPD
• Greene County General Hospital

  • Hospitalist Physician
  • Linton, IN
  • NPI 1942703004

  Diagnostic Radiology

  NPD
• Henry County Memorial Hospital

  • Internal Medicine Physician
  • New Castle, IN
  • NPI 1760800155
  NPD
• Henry County Memorial Hospital

  • Skilled Nursing Facility
  • Indianapolis, IN
  • NPI 1952452815
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD
• TS Radiology Billings, LLC

  • Diagnostic Radiology Physician
  • Portland, OR
  • NPI 1669413514
  NPD

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

• Adams County Memorial Hospital

  • Critical Access Hospital
  • Decatur, IN
  • NPI 1689696148
  Care Compare affiliation
• Iom Health System LP

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1306897335
  Care Compare affiliation
• Lutheran Musculoskeletal Center LLC

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1174706576
  Care Compare affiliation
• Marion General Hospital

  • General Acute Care Hospital
  • Gas City, IN
  • NPI 1760186373
  Care Compare affiliation
• Marion General Hospital

  • General Acute Care Hospital
  • Marion, IN
  • NPI 1770679201
  Care Compare affiliation
• Marion General Hospital

  • Nutrition Support Registered Nurse
  • Marion, IN
  • NPI 1861578072

  Hospital

  Care Compare affiliation
• Marion General Hospital

  • Land Ambulance
  • Marion, IN
  • NPI 1932295466

  Hospital

  Care Compare affiliation
• Warsaw Health System LLC

  • General Acute Care Hospital
  • Warsaw, IN
  • NPI 1164475711
  Care Compare affiliation

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1487612784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7221 ENGLE RD STE 220",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042233",
            "telephone_number": "260-469-8223",
            "fax_number": "260-469-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7221 ENGLE RD STE 220",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042233",
            "telephone_number": "260-469-8223",
            "fax_number": "260-469-8201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326105001",
            "country_code": "US",
            "telephone_number": "352-265-0301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "VINCENT",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "LA",
            "license": "023438",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "023438",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME144253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107111400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy L Moore
• Sarah Michelle Moore, APRN-CNM, PMHNP-BC
• Sheronda Chantell Moore, MSOT, OTR/L
• Starr R Moore
• Toya Moore
• Virginia M Moore, LMHC, LSW, MS ED,
• Christine Jenifer Mora, NP
• Yaimir Mora
• Angela M Morales
• Michelle Lee Morales, LMHCA

• Diagnostic Radiology Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Diagnostic Radiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.