Individual provider Active NPI

William Moore, DO

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1720501299
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6556 Issued in OK
Practice address
1111 N Lee Ave Ste 305
Oklahoma City, OK 73103-2620
Phone
(405) 272-4978
NPI assigned
Jul 17, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X 6556 OK
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 6556 OK Primary

Addresses

Primary practice location

1111 N Lee Ave Ste 305
Oklahoma City, OK 73103-2620

Mailing address

301 Fisher St
Keesler Afb, MS 39534-2508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20250507003226 OK Practitioner - Emergency Medicine 8325304116 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Physicians LLCGroup PAC ID 1153794813, 62 clinicians
Metro Healthcare Services LLCGroup PAC ID 7618400557, 33 clinicians
Emergency Services of Oklahoma PCGroup PAC ID 8123209012, 63 clinicians

Practice addresses (Care Compare)

1111 N Lee Ave
Suite 305
Oklahoma City, OK 73103-2620
Phone (405) 272-4978

1201 Health Ctr Pkwy
Yukon, OK 73099-6381
Phone (405) 717-6800

Hospital & facility affiliations

  • SSM Health St Anthony Hospital - Shawnee Hospital, Shawnee, OK, CCN 370149
  • Inspire Specialty Hospital Long-term care hospital, Midwest City, OK, CCN 372012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6556OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Healthcare Services LLC Single Specialty CurrentSince Feb 1, 2026 Accepting new patients
South Central Emergency Services PC Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Metro Physicians LLC Single Specialty CurrentSince Feb 1, 2026 Accepting new patients
Emergency Services of Oklahoma PC Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Emergency Physicians of Mid-America, P.C. Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

1111 N Lee Ave
Ste 305
Oklahoma City, OK 73103
Phone (405) 272-4978

2401 W Wrangler Blvd
Seminole, OK 74868
Phone (405) 303-4000

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800

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.

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": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1720501299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 FISHER ST",
            "city": "KEESLER AFB",
            "state": "MS",
            "postal_code": "395342508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N LEE AVE STE 305",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032620",
            "telephone_number": "405-272-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-17",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "OK",
            "license": "6556",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "6556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.