Individual provider Active NPI

Ruby Lynn Quinit Moore, MD

  • Internal Medicine Physician
  • Willimantic, CT
National Provider Identifier
1700834256
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
042007 Issued in CT
Practice address
1703 Main St
Willimantic, CT 06226-1133
Phone
(860) 456-7252
Fax
(860) 456-2278
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 042007 CT Primary

Addresses

Primary practice location

1703 Main St
Willimantic, CT 06226-1133

Mailing address

96 Martin Ter
Glastonbury, CT 06033-2708
Phone (860) 633-9769

Other identifiers 1

IdentifierTypeStateIssuer
7611005MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20040420000653 CT Practitioner - Internal MedicinePractitioner - General Practice 8123013836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042007CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Sep 3, 2024 Accepting new patients
Hartford Healthcare Medical Group, Inc Internal Medicine CurrentSince Nov 18, 2019 Accepting new patients
American Current Care PA CurrentSince Sep 3, 2024 Accepting new patients
Sandy River Family Care Inc PastSince Apr 27, 2009 Accepting new patients
Central Piedmont Health Services, Inc Past Accepting new patients
Danville Regional Medical Center, LLC Past Accepting new patients

Locations

701 Main St
East Hartford, CT 06108
Phone (860) 289-5561

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

200 Merrow Rd
Tolland, CT 06084
Phone (860) 253-5330

1703 Main St
Willimantic, CT 06226
Phone (860) 456-1252

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1700834256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 MARTIN TER",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332708",
            "telephone_number": "860-633-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 MAIN ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062261133",
            "telephone_number": "860-456-7252",
            "fax_number": "860-456-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINIT MOORE",
        "first_name": "RUBY LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "042007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7611005",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willimantic, CT

Sources for this page

Verify at the official NPI Registry.