Active NPI
Pamela Dianne Moore, MD
- Emergency Medicine Physician
- Iowa City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD-55102
- Practice address
- 200 Hawkins Dr
Iowa City, IA 52242-1009 - Phone
- (319) 353-6360
- Fax
- (319) 353-7006
- NPI assigned
- Apr 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 1014507 | MA | |
| Medical Toxicology (Emergency Medicine) Physician | 207PT0002X | MD-55102 | IA | |
| Emergency Medicine Physician | 207P00000X | MD-55102 | IA | Primary |
Addresses
Primary practice location
200 Hawkins Dr
Iowa City, IA 52242-1009
Mailing address
200 Hawkins Dr
Iowa City, IA 52242-1009
Other practice location 1
500 E Market St
Iowa City, IA 52245-2633
Phone (319) 353-6360
Other practice location 2
400 E Polk St
Washington, IA 52353-1237
Phone (319) 653-5481
Other practice location 3
701 W Forevergreen Rd
North Liberty, IA 52317-9848
Phone (319) 353-6360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Virginia School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1014507 | MA | MD | Emergency Medicine Physician |
| MD-55102 | IA | MD | Medical Toxicology (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington County Hospital | Current | Accepting new patients | |
| Washington County Hospital | Current | Accepting new patients | |
| Washington County Hospital | Current | Accepting new patients | |
| Washington County Hospital | Emergency Medicine | Current | Accepting new patients |
| Brigham & Womens Physicians Organization Inc | Emergency Medicine | Current | Accepting new patients |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| State University of Iowa | Current | Accepting new patients | |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Emergency Medicine | Current | Accepting new patients |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients |
Locations
200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616
200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616
500 E Market St
Iowa City, IA 52245
Phone (319) 339-0300
701 W Forevergreen Rd
North Liberty, IA 52317
Phone (319) 356-2223
400 E Polk St
Washington, IA 52353
Phone (319) 653-5481
75 Francis St
Boston, MA 02115
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
1 Deaconess Rd
Boston, MA 02215
Phone (617) 754-2323
910 Washington St
Dedham, MA 02026
Phone (781) 431-1333
199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000
254 2nd Ave
Lowr
Needham Heights, MA 02494
Phone (781) 416-8400
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
340 Thompson Rd
Webster, MA 01570
Phone (508) 943-2600
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/washin-6836dd27
- pmoore36845@direct.bostonchildrens.org
- pmoore376671@direct.bilh.masshiway.net
Organizations & group practices 10
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.
-
- Family Medicine Physician
- Iowa City, IA
- NPI 1477554814
-
- Critical Access Hospital
- Washington, IA
- NPI 1053305326
-
- Family Medicine Physician
- Kalona, IA
- NPI 1235985003
-
- Emergency Medical Services (Emergency Medicine) Physician
- Boston, MA
- NPI 1952358533
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
Emergency Medicine
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
- Clinic/Center
- Washington, IA
- NPI 1215539952
-
- Emergency Medicine Physician
- Washington, IA
- NPI 1366656530
-
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1861216038
-
- Urgent Care Clinic/Center
- Dedham, MA
- NPI 1538774443
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Iowa City, IA
- NPI 1376544320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1730718511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-353-6360",
"fax_number": "319-353-7006"
}
],
"practiceLocations": [
{
"address_1": "500 E Market St",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522452633",
"country_code": "US",
"telephone_number": "319-353-6360",
"fax_number": "319-353-7006",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 E Polk St",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "IA",
"postal_code": "523531237",
"country_code": "US",
"telephone_number": "319-653-5481",
"fax_number": "319-863-3963",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 W Forevergreen Rd",
"address_purpose": "LOCATION",
"city": "North Liberty",
"state": "IA",
"postal_code": "523179848",
"country_code": "US",
"telephone_number": "319-353-6360",
"fax_number": "319-353-7006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "PAMELA",
"middle_name": "DIANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-03",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "1014507",
"primary": false
},
{
"code": "207PT0002X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Medical Toxicology",
"state": "IA",
"license": "MD-55102",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "MD-55102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.