Individual provider Active NPI

Beth A Moore, M.D.

  • Colon & Rectal Surgery Physician
  • West Hollywood, CA
National Provider Identifier
1720139488
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
G83667 Issued in CA
Practice address
8737 Beverly Blvd Ste 402
West Hollywood, CA 90048-1838
Phone
(310) 854-3580
Fax
(310) 659-5830
NPI assigned
Jan 16, 2007
Sex
Female
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
Colon & Rectal Surgery Physician 208C00000X G83667 CA Primary

Addresses

Primary practice location

8737 Beverly Blvd Ste 402
West Hollywood, CA 90048-1838

Mailing address

8737 Beverly Blvd Ste 402
West Hollywood, CA 90048-1838
Phone (310) 854-3580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20101201000329 CA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 4880880921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Temple University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8929 Wilshire Blvd
Suite 302
Beverly Hills, CA 90211-1974
Phone (310) 854-3580

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
83.08 of 100Reported as individual
Quality
69.24
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy261

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G83667CAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Moore MD Inc Colon & Rectal Surgery CurrentSince Jul 10, 2011 Accepting new patients

Locations

8929 Wilshire Blvd
Ste 302
Beverly Hills, CA 90211
Phone (310) 854-3580

436 N Bedford Dr
Ste 102
Beverly Hills, CA 90210
Phone (310) 274-8001

8737 Beverly Blvd
Ste 402
West Hollywood, CA 90048
Phone (310) 854-3580

Interoperability endpoints

  • Direct secure messaging: bmoore103333@direct.cshs.org

Organizations & group practices 1

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 2

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720139488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8737 BEVERLY BLVD STE 402",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481838",
            "telephone_number": "310-854-3580",
            "fax_number": "310-659-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 BEVERLY BLVD STE 402",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481838",
            "telephone_number": "310-854-3580",
            "fax_number": "310-659-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "G83667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.