Active NPI
Michael Duane Moore, DO
- Interventional Cardiology Physician
- Spring Hill, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- OS9217
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00168703 | Other | RRW MCR | |
| 271050100 | Medicaid | FL | |
| 46676 | Other | FL | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- 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
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
- Tampa General Hospital Brooksville
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 20 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS9217 | FL | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Cardiology Group LLC | Interventional Cardiology | Current | Accepting new patients |
| West Florida Cardiology Network, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Florida Cardiology Group LLC | Cardiovascular Disease | Current | 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
- michaelmoore_2160@fcg.omnimddirect.com
- mmoore296175@direct.tgh.org
- https://api.platform.athenahealth.com/4692/brand/27/csg/1/fhir/r4
- michael.moore@hca4.eclinicaldirectplus.com
- 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.
-
- Cardiovascular Disease Physician
- Hudson, FL
- NPI 1568457521
-
- Cardiovascular Disease Physician
- Saint Petersburg, FL
- NPI 1801198023
-
- Interventional Cardiology Physician
- Palm Harbor, FL
- NPI 1861725111
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Specialist
- St Petersburg, FL
- NPI 1811940802
-
- General Practice Dentistry
- Branson, MO
- NPI 1154511004
-
- Specialist
- Branson, MO
- NPI 1881678688
-
- Family Medicine Physician
- Branson, MO
- NPI 1356291298
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooksville, FL
- NPI 1013961838
-
- General Acute Care Hospital
- Brooksville, FL
- NPI 1063294197
-
- General Acute Care Hospital
- Spring Hill, FL
- NPI 1275305013
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.