Individual provider Active NPI

Cameron Moore, MD

  • Family Medicine Physician
  • Norristown, PA
National Provider Identifier
1962932897
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD470008 Issued in PA
Practice address
1401 Dekalb St
Norristown, PA 19401-3405
Phone
(610) 278-7787
Fax
(610) 278-7386
NPI assigned
Jun 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0088945 MD
Family Medicine Physician 207Q00000X MD470008 PA Primary

Addresses

Primary practice location

1401 Dekalb St
Norristown, PA 19401-3405

Mailing address

1412-22 Fairmount Avenue
Philadelphia, PA 19130-2908
Phone (610) 278-7787

Other practice location 1

555 N Duke St
Lancaster, PA 17602-2250
Phone (717) 544-4940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210903001093 PA Practitioner - Family Practice 1850661976 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York Medical College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercer Bucks Medical Associates PCGroup PAC ID 9133024508, 44 clinicians

Practice addresses (Care Compare)

1411 Woodbourne Rd
Levittown, PA 19057-1540
Phone (215) 943-2000

Hospital & facility affiliations

  • Guardian Hospice Care, Inc. Hospice, Willow Grove, PA, CCN 731516
  • St Mary Medical Center Hospital, Langhorne, PA, CCN 390258
  • Immaculatemarycenter for Rehabilitation&Healthcare Nursing home, Philadelphia, PA, CCN 395338
  • Aventura at Pembrooke Nursing home, West Chester, PA, CCN 395166
  • Wesley Enhanced Living Pennypack Park Nursing home, Philadelphia, PA, CCN 395413

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0088945MDMDFamily Medicine Physician
MD470008PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Medical Group, PC CurrentSince Dec 10, 2024 Accepting new patients
Alignmed Partners, PC CurrentSince Dec 10, 2024 Accepting new patients
Delaware Valley Community Health, Inc. CurrentSince Aug 15, 2021 Accepting new patients
Geps Physician Group of Pennsylvania PC CurrentSince Dec 10, 2024 Accepting new patients
Mercer Bucks Medical Associates, P.C. CurrentSince Aug 1, 2022 Accepting new patients
Geps Physician Group of Pennsylvania, PC CurrentSince Dec 10, 2024 Accepting new patients
Delaware Valley Community Health, Inc. CurrentSince Aug 15, 2021 Accepting new patients
Liberty Lutheran Housing Development Corporation Past Accepting new patients
Evangelical Manor Past Accepting new patients
Aventura at Pembrooke, LLC Past Accepting new patients
2990 Holme Operating, LLC Past Accepting new patients

Locations (25 of 44)

6400 Hulmeville Rd
Bensalem, PA 19020
Phone (215) 752-1940

905 Tower Rd
Bristol, PA 19007
Phone (215) 785-2109

2507 Chestnut St
Chester, PA 19013
Phone (610) 872-5373

501 Thomas Jones Way
Exton, PA 19341
Phone (484) 733-3700

3485 Davisville Rd
Hatboro, PA 19040
Phone (215) 830-0400

2000 Old West Chester Pike
Havertown, PA 19083
Phone (610) 536-2100

2085 Lieberman Dr
Huntingdon Valley, PA 19006
Phone (215) 214-3815

100 Abbeyville Rd
Lancaster, PA 17603
Phone (717) 397-4261

300 E Winchester Ave
Langhorne, PA 19047
Phone (215) 275-3361

1208 Langhorne Newtown Rd
Langhorne, PA 19047
Phone (267) 560-1100

350 Manor Ave
Langhorne, PA 19047
Phone (215) 757-7667

262 Tollgate Rd
Langhorne, PA 19047
Phone (215) 968-4650

2629 Trenton Rd
Levittown, PA 19056
Phone (215) 860-3520

1411 Woodbourne Rd
Levittown, PA 19057
Phone (215) 943-8900

1718 Spring Creek Rd
Macungie, PA 18062
Phone (610) 366-0500

1194 Naamans Creek Rd
Marcus Hook, PA 19060
Phone (610) 358-6005

820 Durham Rd
Newtown, PA 18940
Phone (215) 589-7181

1700 Pine St
Norristown, PA 19401
Phone (610) 237-7100

1401 DeKalb St
Norristown, PA 19401
Phone (610) 275-9400

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

10400 Roosevelt Blvd
Philadelphia, PA 19116
Phone (215) 698-5600

7800 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 722-2300

1412 Fairmount Ave
Philadelphia, PA 19130
Phone (215) 235-9600

8301 Roosevelt Blvd
Philadelphia, PA 19152
Phone (215) 624-6038

6129 Palmetto St
Philadelphia, PA 19111
Phone (215) 722-8555

Interoperability endpoints

  • Direct secure messaging: cameron.moore.p1@direct.dvch.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Exton Post AcuteExton, PA, CCN 396144 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2025
Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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 4

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1962932897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412-22 FAIRMOUNT AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191302908",
            "telephone_number": "610-278-7787",
            "fax_number": "610-278-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 DEKALB ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194013405",
            "telephone_number": "610-278-7787",
            "fax_number": "610-278-7386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 N Duke St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176022250",
            "country_code": "US",
            "telephone_number": "717-544-4940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CAMERON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2021-09-14",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0088945",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD470008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norristown, PA

Sources for this page

Verify at the official NPI Registry.