Kraig Dewitt Moore, M.D.

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

D0062906 Issued in MD

Practice address

13008 Cloverly Dr
Upper Marlboro, MD 20774-1904

Phone

(240) 449-5102

NPI assigned

Mar 27, 2008

Last updated

Mar 27, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

General Practice

Education

George Washington University School of Medicine, 1992

Medicare assignment

May accept Medicare assignment

Group practices

Family and Sports Chiropractic IncGroup PAC ID 3375572753, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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 and Sports Chiropractic Inc

  dba Ashburn Medical Spa & Wellness Center

  • Multi-Specialty Clinic/Center
  • Ashburn, VA
  • NPI 1912062985
  Medicare reassignment Care Compare group
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1790957983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13008 CLOVERLY DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741904",
            "telephone_number": "240-449-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13008 CLOVERLY DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741904",
            "telephone_number": "240-449-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KRAIG",
        "middle_name": "DEWITT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MD",
            "license": "D0062906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Montue
• Solange Monyok
• Moore OBGYN LLC
• Moore OBGYN LLC
• Anthony Moore, LCPC
• Henry Morfaw
• Robert Princely Mbeng Morfaw
• Morgan Therapeutic Services, LLC
• Janice Morgan Wellington, LCSW-C
• Christine Morgan

• Medical Oncology Physician in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Medical Oncology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.

Verify at the official NPI Registry.