Active NPI
Melanie L Moore, AU.D.
- Audiologist
- Mesa, AZ
National Provider Identifier
1962401562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- DA2172
- Practice address
- 4140 E Baseline Rd
Suite 211
Mesa, AZ 85206-4412 - Phone
- (480) 273-8680
- NPI assigned
- Jul 18, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | DA2172 | AZ | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | DA2172 | AZ | |
| Assistive Technology Practitioner Audiologist | 231HA2400X |
Addresses
Primary practice location
4140 E Baseline Rd
Suite 211
Mesa, AZ 85206-4412
Mailing address
4140 E Baseline Rd
Suite 211
Mesa, AZ 85206-4412
Phone (480) 273-8680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1131 E 2ND St
Tucson, AZ 85721-0071
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.58 of 100
- Quality
- 71.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arizona | Audiologist | Current | Accepting new patients |
| The University of Arizona | Current | Accepting new patients | |
| Arizona Otolaryngology Consultants, PC | Past | Accepting new patients |
Locations
1131 E 2nd St
Tucson, AZ 85721
Phone (520) 621-7070
Interoperability endpoints
- https://api.platform.athenahealth.com/27327/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Audiologist
- Tucson, AZ
- NPI 1053509679
-
- Clinical Medical Laboratory
- Tucson, AZ
- NPI 1376362152
-
- Specialist
- Phoenix, AZ
- NPI 1679538441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444608000000",
"number": "1962401562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 E BASELINE RD",
"address_2": "SUITE 211",
"city": "MESA",
"state": "AZ",
"postal_code": "852064412",
"telephone_number": "480-273-8680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4140 E BASELINE RD",
"address_2": "SUITE 211",
"city": "MESA",
"state": "AZ",
"postal_code": "852064412",
"telephone_number": "480-273-8680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "MELANIE",
"middle_name": "L",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-18",
"last_updated": "2015-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AZ",
"license": "DA2172",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "AZ",
"license": "DA2172",
"primary": false
},
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.