Individual provider Active NPI

Paula D Moore, M. D.

  • Internal Medicine Physician
  • Vestavia, AL
National Provider Identifier
1952452260
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14740 Issued in AL
Practice address
2470 Rocky Ridge Rd
Suite 200
Vestavia, AL 35243-2833
Phone
(205) 286-3200
Fax
(205) 286-3201
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14740 AL Primary

Addresses

Primary practice location

2470 Rocky Ridge Rd
Suite 200
Vestavia, AL 35243-2833

Mailing address

2470 Rocky Ridge Rd
Suite 200
Vestavia, AL 35243-2833
Phone (205) 286-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20130218000465 AL Practitioner - Internal Medicine 0648424838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in Shreveport, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dysautonomia MVP Center, LLC.Group PAC ID 7012238314, 3 clinicians

Practice addresses (Care Compare)

2470 Rocky Ridge Rd
Suite 200
Vestavia, AL 35243-2861
Phone (205) 286-3200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14740ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dysautonomia MVP Center, LLC. Internal Medicine CurrentSince Feb 16, 2015 Accepting new patients

Locations

2470 Rocky Ridge Rd
Ste 200
Vestavia, AL 35243
Phone (205) 286-3200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1952452260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 ROCKY RIDGE RD",
            "address_2": "SUITE 200",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432833",
            "telephone_number": "205-286-3200",
            "fax_number": "205-286-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 ROCKY RIDGE RD",
            "address_2": "SUITE 200",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432833",
            "telephone_number": "205-286-3200",
            "fax_number": "205-286-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "PAULA",
        "middle_name": "D",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "14740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

Verify at the official NPI Registry.