Active NPI
Thomas C Moore, MD
- Family Medicine Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C-6856
- Practice address
- 701 N University Ave
Suite 100
Little Rock, AR 72205 - Phone
- (501) 664-4810
- Fax
- (501) 663-1256
- NPI assigned
- Aug 26, 2005
- Last updated
- Jul 14, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C-6856 | AR | Primary |
Addresses
Primary practice location
701 N University Ave
Suite 100
Little Rock, AR 72205
Mailing address
701 N University Ave Ste 100
Little Rock, AR 72205-2936
Phone (501) 664-4810
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080102392 | Other | AR | MEDICARE RAILROAD |
| 080102392 | Other | RAILROAD MEDICARE | |
| 12448000000 | Other | AR | QUALCHOICE |
| 01-20140 | Other | AR | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Arkansas College of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
701 N University Ave
Suite 100 Little Rock Family Practice Cent
Little Rock, AR 72205-2936
Phone (501) 664-4810
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-6856 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Family Care Network | Family Medicine | Current | Accepting new patients |
| Arkansas Family Care Network | Family Medicine | Past | Accepting new patients |
Locations
4208 N Rodney Parham Rd
Little Rock, AR 72212
Phone (501) 223-0779
701 N University Ave
Ste 100
Little Rock, AR 72205
Phone (501) 664-4810
701 N University Ave
Ste 201
Little Rock, AR 72205
Phone (501) 552-4763
5125 Northshore Dr
North Little Rock, AR 72118
Interoperability endpoints
- thomas.moore@afcn.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- North Little Rock, AR
- NPI 1497718134
-
dba Little Rock Family Practice - Central
- Family Medicine Physician
- Little Rock, AR
- NPI 1336396407
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Medical Center-Little Rock
- General Acute Care Hospital
- Little Rock, AR
- NPI 1043240682
-
- Home Health Agency
- Little Rock, AR
- NPI 1275520652
-
dba St Vincent Infirmary Medical Center - GeroPsych Unit
- Psychiatric Hospital Unit
- Little Rock, AR
- NPI 1710442801
-
dba St. Vincent Health System
- General Acute Care Hospital
- Little Rock, AR
- NPI 1780684431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1780677666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 N UNIVERSITY AVE STE 100",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722052936",
"telephone_number": "501-664-4810",
"fax_number": "501-663-1256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N UNIVERSITY AVE",
"address_2": "SUITE 100",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72205",
"telephone_number": "501-664-4810",
"fax_number": "501-663-1256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "THOMAS",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "C-6856",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "080102392",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080102392",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "12448000000",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "01-20140",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.