Individual provider Active NPI

Charles F Moore Jr., M.D.

  • Rheumatology Physician
  • New Albany, IN
National Provider Identifier
1740209253
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
01056663A Issued in IN
Practice address
3897 Charlestown Rd
New Albany, IN 47150-9562
Phone
(502) 495-3665
Fax
(502) 874-5536
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 41169 KY
Rheumatology Physician 207RR0500X 41169 KY
Hospitalist Physician 208M00000X 01056663A IN
Rheumatology Physician 207RR0500X 01056663A IN Primary

Addresses

Primary practice location

3897 Charlestown Rd
New Albany, IN 47150-9562

Mailing address

3897 Charlestown Rd
New Albany, IN 47150-9562
Phone (502) 495-3665

Other identifiers 3

IdentifierTypeStateIssuer
P00248435OtherINRR MCARE PIN
200518340MedicaidIN
64102056MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050614001284 IN Practitioner - RheumatologyPractitioner - Internal Medicine 0749224319 Reassigns benefits to 1 organization
I20130226000535 KY Practitioner - Internal MedicinePractitioner - Rheumatology 0749224319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Louisville School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Cumberland Rheumatology PLLCGroup PAC ID 0446309058, 22 clinicians

Practice addresses (Care Compare)

3897 Charlestown Rd
New Albany, IN 47150-9562
Phone (606) 802-2300

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01056663AINMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Lake Cumberland Rheumatology, PLLC CurrentSince Sep 3, 2024 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
Lake Cumberland Rheumatology, PLLC Rheumatology CurrentSince Sep 3, 2024 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 1, 2013 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 1, 2013 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
University of Louisville Physicians, Inc. Internal Medicine Current Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

3897 Charlestown Rd
New Albany, IN 47150
Phone (502) 495-3665

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

727 Hospital Dr
Shelbyville, KY 40065
Phone (502) 633-2345

26 Oxford Way
Ste A
Somerset, KY 42503
Phone (606) 679-5161

Interoperability endpoints

  • Direct secure messaging: charles.moore.p1@direct.lcr.nextgenshare.com
  • Direct secure messaging: cmoore152661@direct.nortonhealthcare.org

Organizations & group practices 8

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1740209253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3897 CHARLESTOWN RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509562",
            "telephone_number": "502-495-3665",
            "fax_number": "502-874-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3897 CHARLESTOWN RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509562",
            "telephone_number": "502-495-3665",
            "fax_number": "502-874-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHARLES",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "41169",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "KY",
            "license": "41169",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01056663A",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IN",
            "license": "01056663A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE PIN",
            "identifier": "P00248435",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200518340",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64102056",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.