NPIMap

Individual provider Active NPI

Ellen Jane Moore, MD

  • Internal Medicine Physician
  • Asheville, NC
National Provider Identifier
1912226960
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
201500325 Issued in NC
Practice address
4 Vanderbilt Park Dr Ste 100
Asheville, NC 28803-2476
Phone
(828) 258-0397
Fax
(282) 777-8158
NPI assigned
May 28, 2010
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 39983 SC
Internal Medicine Physician 207R00000X 201500325 NC Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 39983 SC

Addresses

Primary practice location

4 Vanderbilt Park Dr Ste 100
Asheville, NC 28803-2476

Mailing address

4 Vanderbilt Park Dr Ste 100
Asheville, NC 28803-2476
Phone (828) 258-0397

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ellen.moore@mpaii.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230123002018 NC Practitioner - Internal Medicine 0042450637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Medical University of South Carolina College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians

Practice addresses (Care Compare)

20 W Medical CT
Marion, NC 28752-4968
Phone (828) 659-8049

4 Vanderbilt Park Dr
Suite 100
Asheville, NC 28803-2476
Phone 82825803971112

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201500325NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Internal Medicine Associates, PA Internal Medicine CurrentSince Jan 3, 2023 Accepting new patients

Locations

275 McDowell St
Asheville, NC 28803
Phone (828) 255-5870

4 Vanderbilt Park Dr
Ste 100
Asheville, NC 28803
Phone (828) 258-0397

44 Haywood Park Dr
Clyde, NC 28721
Phone (828) 258-0397

Interoperability endpoints

  • Direct secure messaging: ellen.moore.1@31813.direct.athenahealth.com
  • Direct secure messaging: ellen.moore@mpaii.eclinicaldirectplus.com
  • Direct secure messaging: ellenmoore@cim.allscriptsdirect.net
  • Direct secure messaging: emoore19672@directmcleodehealth.org

Organizations & group practices 1

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.

Hospital & facility affiliations 8

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": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1912226960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 VANDERBILT PARK DR STE 100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032476",
            "telephone_number": "828-258-0397",
            "fax_number": "282-777-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 VANDERBILT PARK DR STE 100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032476",
            "telephone_number": "828-258-0397",
            "fax_number": "282-777-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ELLEN",
        "middle_name": "JANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "39983",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "201500325",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "SC",
            "license": "39983",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ellen.moore@mpaii.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "ECW DA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "800 E Cheves St",
            "address_2": "Suite 200",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295062650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.