NPIMap

Individual provider Active NPI

Andreea Gabriela Moore, MD

  • Diagnostic Radiology Physician
  • Kalamazoo, MI
National Provider Identifier
1558654988
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301098574 Issued in MI
Practice address
524 S Park St
Kalamazoo, MI 49007-5118
Phone
(616) 363-7339
NPI assigned
May 18, 2011
Last updated
Dec 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301098574 MI Primary

Addresses

Primary practice location

524 S Park St
Kalamazoo, MI 49007-5118

Mailing address

524 S Park St
Kalamazoo, MI 49007-5118
Phone (616) 363-7339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MT, WA, OR4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240626001601 IL Practitioner - Diagnostic Radiology 9436459872 Reassigns benefits to 4 organizations
I20250924002957 MT Practitioner - Diagnostic Radiology 9436459872 Reassigns benefits to 3 organizations
I20251122000573 WA Practitioner - Diagnostic Radiology 9436459872 Reassigns benefits to 10 organizations
I20251124004513 OR Practitioner - Diagnostic Radiology 9436459872 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
George Washington University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integra Imaging PSGroup PAC ID 1355593062, 126 clinicians
Inland Imaging Associates PSGroup PAC ID 7810327210, 124 clinicians
Inland Imaging LLCGroup PAC ID 6608763016, 128 clinicians

Practice addresses (Care Compare)

Lake Forest, IL 60045
Phone (509) 363-7791

101 W 8TH Ave
Spokane, WA 99204-2307
Phone (509) 363-7745

2740 S Ave W
Suite 103
Missoula, MT 59804-5137
Phone (509) 363-7788

2801 St Anthony Way
Pendleton, OR 97801-3800
Phone (541) 276-5121

2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone (509) 363-7788

525 S Cowley St
Spokane, WA 99202-1381
Phone (509) 747-4455

801 S Stevens St
Spokane, WA 99204-2654
Phone (509) 363-7788

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.33 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
91.34
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301098574MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Polyclinic CurrentSince Jan 1, 2026 Accepting new patients
Columbia County Hospital District CurrentSince Jan 1, 2026 Accepting new patients
Grant County Public Hospital District 3 CurrentSince Dec 16, 2025 Accepting new patients
Integra Imaging, PS Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Integra Imaging, PS Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Okanogan Douglas County Hospital Dist1 CurrentSince Jan 1, 2026 Accepting new patients
The Corvallis Clinic P C CurrentSince Dec 13, 2025 Accepting new patients
Grant County Public Hospital District 2 CurrentSince Nov 6, 2025 Accepting new patients
The Corvallis Clinic P C CurrentSince Mar 23, 2026 Accepting new patients
Okanogan Douglas County Hospital Dist 1 CurrentSince Jan 1, 2026 Accepting new patients
The Polyclinic PLLC CurrentSince Jan 1, 2026 Accepting new patients
Columbia County Hospital District CurrentSince Jan 1, 2026 Accepting new patients
Inland Imaging LLC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Inland Imaging Associates PS Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Oregon Healthcare Resources, LLC CurrentSince Dec 13, 2025 Accepting new patients

Locations

2419 Mullan Rd
Ste D
Missoula, MT 59808
Phone (406) 540-1512

2740 South Ave W
Missoula, MT 59804
Phone (406) 728-6010

2740 South Ave W
Ste 103
Missoula, MT 59804

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

3680 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 754-1282

3680 NW Samaritan Dr
Ste 100
Corvallis, OR 97330
Phone (541) 754-1282

600 Country Club Rd
Eugene, OR 97401
Phone (541) 242-4172

600 Country Club Rd
#100
Eugene, OR 97401
Phone (541) 228-3400

2801 St Anthony Way
Pendleton, OR 97801
Phone (541) 276-5121

500 E Webster Ave
Chewelah, WA 99109
Phone (509) 482-0111

1012 S 3rd St
Dayton, WA 99328
Phone (509) 382-2531

200 Nat Washington Way
Ephrata, WA 98823
Phone (509) 754-3330

908 10th Ave SW
Quincy, WA 98848
Phone (509) 787-3503

1145 Broadway
Seattle, WA 98122

1200 12th Ave S
Seattle, WA 98144
Phone (206) 326-2400

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181

525 S Cowley St
Spokane, WA 99202
Phone (509) 625-3397

801 S Stevens St
Spokane, WA 99204
Phone (206) 621-4316

1812 S J St
Ste 102
Tacoma, WA 98405
Phone (253) 552-4900

Interoperability endpoints

  • Direct secure messaging: amoore1141992@direct.hfhs.org
  • Direct secure messaging: amoore143288@direct.covenanthealthcare.com
  • FHIR API: https://api.platform.athenahealth.com/14349/brand/4/csg/42/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/3889/brand/1/csg/1/fhir/r4

Organizations & group practices 18

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 18

Hospital & facility affiliations 9

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": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1558654988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 S PARK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075118",
            "telephone_number": "616-363-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 S PARK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075118",
            "telephone_number": "616-363-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANDREEA",
        "middle_name": "GABRIELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301098574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.