Individual provider Active NPI

Michael Duane Moore, DO

  • Interventional Cardiology Physician
  • Spring Hill, FL
National Provider Identifier
1831184456
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
OS9217 Issued in FL
Practice address
15004 Cortez Blvd
Spring Hill, FL 34613-6068
Phone
(352) 596-4422
Fax
(352) 597-2771
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X OS9217 FL Primary
Cardiovascular Disease Physician 207RC0000X OS9217 FL

Addresses

Primary practice location

15004 Cortez Blvd
Spring Hill, FL 34613-6068

Mailing address

PO Box 7386
Hudson, FL 34674-7386
Phone (727) 862-8383

Other identifiers 3

IdentifierTypeStateIssuer
P00168703OtherRRW MCR
271050100MedicaidFL
46676OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040901001262 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0345212171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Florida Cardiology Network, LLCGroup PAC ID 8729260641, 83 clinicians
Florida Cardiology Group LLCGroup PAC ID 1153394036, 6 clinicians

Practice addresses (Care Compare)

11371 Cortez Blvd
Suite 240
Brooksville, FL 34613-5403
Phone (352) 592-7318

13740 Office Park CT
Suite C
Hudson, FL 34667-7145
Phone (727) 869-5100

Hospital & facility affiliations

  • HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264
  • Tampa General Hospital Brooksville Hospital, Brooksville, FL, CCN 100071

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting20
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS9217FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cardiology Group LLC Interventional Cardiology Current Accepting new patients
West Florida Cardiology Network, LLC Cardiovascular Disease CurrentSince Nov 1, 2025 Accepting new patients
Florida Cardiology Group LLC Cardiovascular Disease CurrentSince Jul 1, 2004 Accepting new patients
Tampa General Hospital Current Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients
Skaggs Community Health Center and Clinics Past Accepting new patients
Richard D. Tallon, DDS, PC Past Accepting new patients
Cardiology Consultants Past Accepting new patients

Locations

11371 Cortez Blvd
Ste 240
Brooksville, FL 34613
Phone (352) 592-7318

13740 Office Park Ct
Ste C
Hudson, FL 34667
Phone (727) 859-7670

7420 Community Ct
Hudson, FL 34667
Phone (727) 863-6573

4738 Grand Blvd
Ste E
New Prt Rchy, FL 34652
Phone (727) 848-6400

15004 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 596-4422

6006 49th St N
Ste 200
St Petersburg, FL 33709
Phone (727) 381-9696

9332 State Road 54
Ste 405
Trinity, FL 34655
Phone (727) 375-8264

12169 Mercado Dr
Ste 6B
Venice, FL 34293
Phone (941) 782-0505

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: michaelmoore_2160@fcg.omnimddirect.com
  • Direct secure messaging: mmoore296175@direct.tgh.org
  • FHIR API: https://api.platform.athenahealth.com/4692/brand/27/csg/1/fhir/r4
  • Direct secure messaging: michael.moore@hca4.eclinicaldirectplus.com
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

Hospital & facility affiliations 3

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1831184456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7386",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346747386",
            "telephone_number": "727-862-8383",
            "fax_number": "727-863-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15004 CORTEZ BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346136068",
            "telephone_number": "352-596-4422",
            "fax_number": "352-597-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MICHAEL",
        "middle_name": "DUANE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "OS9217",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "OS9217",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRW MCR",
            "identifier": "P00168703",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271050100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "46676",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.