Theresa Aline Slade-Moore, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD33908 Issued in DC

Practice address

4601 Martin Luther King Jr Ave SW
Washington, DC 20032-1131

Phone

(202) 574-5730

NPI assigned

Aug 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Theresa Aline Slade-Moore Professional name

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Internal MedicineAlso: Critical Care (Intensivists)

Education

University of Maryland School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anacostia Medical AssociatesGroup PAC ID 8123257821, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of MD Charles Regional Medical Center Hospital, La Plata, MD, CCN 210035

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tslademoore548129@direct.umm.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.

• Anacostia Medical Associates

  • Critical Care Medicine (Internal Medicine) Physician
  • Hagerstown, MD
  • NPI 1376973362
  Medicare reassignment Care Compare group
• Shock Trauma Associates, P.a.

  • Emergency Care Clinic/Center
  • Baltimore, MD
  • NPI 1679512909
  Medicare reassignment NPD
• Brockbridge Therapy, Inc.

  • Physical Therapist
  • Baltimore, MD
  • NPI 1427131879
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Hospitalist Medicine Physicians of Maryland P.C.

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1073824686
  NPD (past)
• MDDC, LLC

  • Orthopedic Chiropractor
  • Baltimore, MD
  • NPI 1386898625

  Internal Medicine

  NPD (past)

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

• Civista Medical Center Inc

  • Rural Acute Care Hospital
  • La Plata, MD
  • NPI 1992701825
  Care Compare affiliation
• Civista Medical Center, Inc.

  • Physical Therapist
  • La Plata, MD
  • NPI 1689071219

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1528252020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12118 FOXHILL LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207152323",
            "telephone_number": "240-432-0368",
            "fax_number": "877-991-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 MARTIN LUTHER KING JR AVE SW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200321131",
            "telephone_number": "202-574-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLADE-MOORE",
        "first_name": "THERESA",
        "middle_name": "ALINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D 0057823",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD33908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "SLADE-MOORE",
            "middle_name": "ALINE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• David Mark Skwara, D.D.S.
• Hana Skwish
• Vera C. Sky, LICSW
• Julie Slaats, RN,CPNP
• Rachel Suzanne Slabach, MD
• Arleyah Janay Slade
• Christopher Robert Slade Jr.
• Jason Michael Slade
• Michael Slade
• Veronica Slaght, PSYD

• Internal Medicine Physician in Washington, DC
• Providers in Washington, DC by specialty
• Internal Medicine Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.