NPIMap

Individual provider Active NPI

Michael C Moore, M.D.

  • Gastroenterology Physician
  • West Seneca, NY
National Provider Identifier
1700957727
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
124157 Issued in NY
Practice address
2943 Seneca St
West Seneca, NY 14224-1950
Phone
(716) 825-3601
Fax
(716) 825-2850
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 124157 NY Primary

Addresses

Primary practice location

2943 Seneca St
West Seneca, NY 14224-1950

Mailing address

2943 Seneca St
West Seneca, NY 14224-1950
Phone (716) 825-3601

Other identifiers 3

IdentifierTypeStateIssuer
5080261OtherNYHEALTHNOW COMMUNITY BLUE
00010121501OtherNYUNIVERA
2301114OtherNYINDEPENDENT HEALTH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110103000584 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 6305034539 Reassigns benefits to 2 organizations
Practice locations: West Seneca, NY

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Georgetown University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

100 High St
Buffalo, NY 14203-1126
Phone (716) 859-1400

2943 Seneca St
West Seneca, NY 14224-1950

2943 Seneca St
West Seneca, NY 14224-1973
Phone (716) 825-3601

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy142
Upper gastrointestinal (GI) endoscopy for acid reflux171

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleida Health Current Accepting new patients
Kaleida Health CurrentSince Feb 1, 2016 Accepting new patients
General Physician, PC CurrentSince Oct 27, 2019 Accepting new patients
Kaleida Health CurrentSince Feb 1, 2016 Accepting new patients
Wny Breast Med and Surg Care,PC Past Accepting new patients

Locations

100 High St
#B2
Buffalo, NY 14203
Phone (716) 859-1256

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

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 8

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700957727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2943 SENECA ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241950",
            "telephone_number": "716-825-3601",
            "fax_number": "716-825-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2943 SENECA ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241950",
            "telephone_number": "716-825-3601",
            "fax_number": "716-825-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "124157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW COMMUNITY BLUE",
            "identifier": "5080261",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010121501",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "2301114",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.