Individual provider Active NPI

Kendall Ivan Moore, M.D.

  • Emergency Medicine Physician
  • Sugar Land, TX
National Provider Identifier
1508253881
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
S8341 Issued in TX
Practice address
7616 Branford PL Ste 220
Sugar Land, TX 77479-3794
Phone
(346) 493-9329
NPI assigned
Apr 23, 2015
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036150489 IL
Emergency Medicine Physician 207P00000X S8341 TX Primary
Emergency Medicine Physician 207P00000X 2019024451 MO
Emergency Medicine Physician 207P00000X 01082466A IN

Addresses

Primary practice location

7616 Branford PL Ste 220
Sugar Land, TX 77479-3794

Mailing address

1104 Thompson St
Houston, TX 77007-5634
Phone (708) 768-6263

Other practice location 1

111 E 210th St
Bronx, NY 10467-2401
Phone (718) 920-4321

Other practice location 2

16100 South Fwy
Pearland, TX 77584-1895
Phone (713) 413-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, TX, AL, FL, OK, GA, TN, LA, AR9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20190710000353 IN Practitioner - Emergency Medicine 4486989738 Reassigns benefits to 3 organizations
I20210405001920 TX Practitioner - Emergency Medicine 4486989738 Reassigns benefits to 9 organizations
I20250310002309 AL Practitioner - Emergency Medicine 4486989738 Reassigns benefits to 3 organizations
I20250311003778 FL Practitioner - Emergency Medicine 4486989738 Reassigns benefits to 2 organizations
I20250312002320 OK Practitioner - Emergency Medicine 4486989738 Reassigns benefits to 1 organization
I20250312003350 GA Practitioner - Emergency Medicine 4486989738 Reassigns benefits to 3 organizations
I20250313002603 TN Practitioner - Emergency Medicine 4486989738 Reassigns benefits to 1 organization
I20250318002651 LA Practitioner - Emergency Medicine 4486989738 Reassigns benefits to 1 organization
I20250607000176 AR Practitioner - Emergency Medicine 4486989738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tapestry Telehealth PLLCGroup PAC ID 4789942335, 80 clinicians
Topaz Bay Senior Health PCGroup PAC ID 2860906385, 30 clinicians
Memorial Hermann Hospital Based Physician GroupGroup PAC ID 4385075480, 272 clinicians

Practice addresses (Care Compare)

10202 Perkins Rowe
Suite E 160
Baton Rouge, LA 70810-2067
Phone (203) 666-8145

111 N Orange Ave
Suite 800
Orlando, FL 32801-2381
Phone (203) 666-8145

16100 S Fwy
Pearland, TX 77584-1895
Phone (713) 338-6565

2100 Southbridge Pkwy
Suite 650
Birmingham, AL 35209-1317
Phone (203) 666-8145

3200 W End Ave
Suite 500
Nashville, TN 37203-1322
Phone (203) 666-8145

325 N Saint Paul St
Suite 3100
Dallas, TX 75201-3923
Phone (203) 666-8145

3455 Peachtree Rd N E
5TH Floor
Atlanta, GA 33026-3254
Phone (203) 666-8145

3455 Peachtree Rd NE
Suite 5
Atlanta, GA 30326-3254
Phone (203) 666-8145

400 W Capitol Ave
Suite 1700
Little Rock, AR 72201-3438
Phone (203) 666-8145

530 S Linwood Ave
Cushing, OK 74023-4644
Phone (203) 666-8145

9465 Counselors Row
Suite 200
Indianapolis, IN 46240-3817
Phone (203) 666-8145

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jun 26, 2019 Accepting new patients
Memorial Hermann Hospital Based Physician Group Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients
Izuchukwu Okpara MD, P.a. CurrentSince Jun 19, 2024 Accepting new patients
St Joseph Emergency Physicians PLLC Emergency Medicine Current Accepting new patients
St Joseph Emergency Physicians PLLC Emergency Medicine CurrentSince Jul 18, 2021 Accepting new patients
Elite Hospital Partners, PLLC Emergency Medicine CurrentSince Dec 7, 2024 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Mar 6, 2021 Accepting new patients
Kmoore Healthcare PLLC Emergency Medicine CurrentSince Jul 8, 2025 Accepting new patients
Tapestry Telehealth PLLC CurrentSince May 4, 2024 Accepting new patients
Memorial Hermann Health System Past Accepting new patients
Teresa L Cope PLLC Past Accepting new patients

Locations (25 of 37)

1028 Bessemer Rd
Birmingham, AL 35228
Phone (205) 923-1477

2100 Southbridge Pkwy
Ste 650
Homewood, AL 35209
Phone (205) 533-8902

400 W Capitol Ave
Ste 1700
Little Rock, AR 72201
Phone (501) 238-3509

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

99 Hawley Ln
Ste 1102
Stratford, CT 06614

111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257

3455 Peachtree Rd NE
Fl 5
Atlanta, GA 30326
Phone (336) 312-6837

203 W Franciscan Dr
Crown Point, IN 46307
Phone (219) 661-5100

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

530 S Linwood Ave
Cushing, OK 74023
Phone (918) 225-2220

3200 West End Ave
Ste 500
Nashville, TN 37203
Phone (615) 385-4090

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500

325 N Saint Paul St
Ste 3100
Dallas, TX 75201
Phone (203) 747-8696

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

10851 Crescent Moon Dr
Houston, TX 77064
Phone (281) 890-0171

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

1919 Taylor St
Ste F
Houston, TX 77007
Phone (713) 893-5994

2500 Wilcrest Dr
Ste 300
Houston, TX 77042
Phone (213) 288-3538

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

2555 Gulf Fwy S
#C1100
League City, TX 77573

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1508253881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 THOMPSON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770075634",
            "telephone_number": "708-768-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7616 BRANFORD PL STE 220",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793794",
            "telephone_number": "346-493-9329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 E 210th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672401",
            "country_code": "US",
            "telephone_number": "718-920-4321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16100 South Fwy",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775841895",
            "country_code": "US",
            "telephone_number": "713-413-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KENDALL",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-23",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036150489",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "S8341",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2019024451",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01082466A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.