Individual provider Active NPI

Eric Paul Moyer

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1609403567
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036168454 Issued in IL
Practice address
1750 W Harrison St Ste 775
Chicago, IL 60612-3825
Phone
(312) 942-5474
NPI assigned
Mar 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036168454 IL Primary

Addresses

Primary practice location

1750 W Harrison St Ste 775
Chicago, IL 60612-3825

Mailing address

1750 W Harrison St Ste 775
Chicago, IL 60612-3825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20240528002260 IL Practitioner - Emergency Medicine 1052734316 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rush Medical College of Rush University, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians
Aurora Emergency Physicians LLCGroup PAC ID 1850657180, 44 clinicians

Practice addresses (Care Compare)

1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone (312) 563-4270

2000 Ogden Ave
Aurora, IL 60504-7222
Phone (630) 978-6200

Hospital & facility affiliations

  • Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029
  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Rush University Medical Group Emergency Medicine CurrentSince Jun 30, 2024 Accepting new patients
Rush Oak Park ER Physicians Group CurrentSince Jun 30, 2024 Accepting new patients
Rush University Medical Center CurrentSince Jun 30, 2024 Accepting new patients

Locations

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

75 Remittance Dr
Dept 1620
Chicago, IL 60675

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1750 W Harrison St
Ste 775
Chicago, IL 60612
Phone (312) 371-2175

520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300

1122 W Veterans Pkwy
Yorkville, IL 60560
Phone (630) 466-8200

9200 Calumet Ave
Ste E107
Munster, IN 46321
Phone (219) 806-6585

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1609403567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 W HARRISON ST STE 775",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 W HARRISON ST STE 775",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123825",
            "telephone_number": "312-942-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "ERIC",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036168454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.