Ronald E Moore Jr., MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME87976 Issued in FL

Practice address

2307 W Broward Blvd Ste 101
Fort Lauderdale, FL 33312-1420

Phone

(954) 797-4220

Fax

(754) 206-3688

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL, IA2 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 2

Specialty

General Surgery

Education

University of Kansas School of Med (KC/Wich/Sal), 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Iowa Mercy ClinicsGroup PAC ID 7810809076, 304 clinicians

South Florida Surgical Specialists LLCGroup PAC ID 5799881660, 91 clinicians

Covenant Medical Center IncGroup PAC ID 0244148732, 234 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercyone Waterloo Medical Center Hospital, Waterloo, IA, CCN 160067
• Broward Health Medical Center Hospital, Fort Lauderdale, FL, CCN 100039
• Mercyone North Iowa Medical Center Hospital, Mason City, IA, CCN 160064

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rmoore4465682@direct.trinity-health.org

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.

• South Florida Surgical Specialists LLC

  • Surgery Physician
  • Coral Springs, FL
  • NPI 1952409963
  Medicare reassignment Care Compare group NPD
• Covenant Medical Center Inc

  • Family Medicine Physician
  • Waterloo, IA
  • NPI 1548288160
  Medicare reassignment Care Compare group NPD
• North Iowa Mercy Clinics

  • Anesthesiology Physician
  • Mason City, IA
  • NPI 1780278242
  Care Compare group
• Covenant Medical Center, Inc.

  • Customized Equipment (DME)
  • Evansdale, IA
  • NPI 1851141980
  NPD
• Morehouse Healthcare, Inc.

  • Cardiovascular Disease Physician
  • Atlanta, GA
  • NPI 1801832324

  Surgery

  NPD

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

• North Broward Hospital District

  • General Acute Care Hospital
  • Fort Lauderdale, FL
  • NPI 1285662239
  Care Compare affiliation
• Covenant Medical Center Inc

  • General Acute Care Hospital
  • Waterloo, IA
  • NPI 1700827896
  Care Compare affiliation
• Mercy Health Services-Iowa Corp

  • Rural Acute Care Hospital
  • Mason City, IA
  • NPI 1467537886
  Care Compare affiliation

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1669542148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11705",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333391705",
            "telephone_number": "954-797-4220",
            "fax_number": "954-440-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 W BROWARD BLVD STE 101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121420",
            "telephone_number": "954-797-4220",
            "fax_number": "754-206-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "RONALD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME87976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274253500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "71634",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savannah Moon, D.O.
• January Moore
• Julie Isabella Moore, LMFT
• Keith Erickson Moore, DMD
• Martha F Moore, L.M.T.
• Roosevelt Moore, RPT
• Taryll Leon Moore Jr.
• Theola Moore, MS, MHC
• Melodie Kay Moorehead, PH.D.,ABPP
• Erika Michele Moorman, M.S.,CCC-SLP

• Surgery Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.