Active NPI
D Scott Moore, DO
- Emergency Medicine Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 02002731A
- Practice address
- 2001 W 86TH St
Indianapolis, IN 46260-1902 - Phone
- (317) 802-3140
- Fax
- (317) 870-0499
- NPI assigned
- Dec 20, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 1039 | SC | |
| Emergency Medicine Physician | 207P00000X | 02002731A | IN | Primary |
Addresses
Primary practice location
2001 W 86TH St
Indianapolis, IN 46260-1902
Mailing address
St Vincents Emergency Physicians Inc 4685 Reliable Pkwy
Chicago, IL 60686-0046
Phone (317) 802-3140
Other practice location 1
5 Executive Circle
Georgia Emergency Associates
Savannah, GA 31406-3345
Phone (912) 691-1533
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01182507 | Other | GA | AMERIGROUP |
| 300025719 | Medicaid | IN | |
| 483409800D | Medicaid | GA | |
| O10393 | Medicaid | SC | |
| 483409800C | Medicaid | GA | |
| 009976045 | Medicaid | AL | |
| 483409800 | Medicaid | SC | |
| 483409800B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1039 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Hilton Head Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Advanced Pediatric Specialists LLC | Past | Accepting new patients | |
| Coastal Carolina Medical Center, Inc | Past | Accepting new patients | |
| Emerald Healthcare Group PA | Past | Accepting new patients | |
| Carolina Emergency Associates | Emergency Medicine | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1206 E National Ave
Brazil, IN 47834
Phone (812) 442-2480
1331 S A St
Elwood, IN 46036
Phone (765) 552-4000
13861 Olio Rd
Fishers, IN 46037
Phone (317) 338-7136
2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617
8602 Allisonville Rd
Indianapolis, IN 46250
Phone (317) 703-1970
1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890
301 Henry St
North Vernon, IN 47265
Phone (812) 352-4200
2412 E Main St
Plainfield, IN 46168
Phone (317) 204-6800
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
1000 Medical Center Dr
Hardeeville, SC 29927
Phone (843) 784-8138
25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345
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.
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- NPI 1285103671
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- Emergency Medicine Physician
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- NPI 1548912553
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- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Pediatrics Physician
- Savannah, GA
- NPI 1073046397
-
- Emergency Medicine Physician
- Savannah, GA
- NPI 1275563942
-
- Rural Health Clinic/Center
- Ridgeland, SC
- NPI 1124307509
-
- Emergency Care Clinic/Center
- Foley, AL
- NPI 1710044698
-
- Emergency Medicine Physician
- Hilton Head Island, SC
- NPI 1326047176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587600000000",
"number": "1972667665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ST VINCENTS EMERGENCY PHYSICIANS INC 4685 RELIABLE PKWY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606860046",
"telephone_number": "317-802-3140",
"fax_number": "317-870-6719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 W 86TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601902",
"telephone_number": "317-802-3140",
"fax_number": "317-870-0499"
}
],
"practiceLocations": [
{
"address_1": "5 EXECUTIVE CIRCLE",
"address_2": "GEORGIA EMERGENCY ASSOCIATES",
"address_purpose": "LOCATION",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063345",
"country_code": "US",
"telephone_number": "912-691-1533",
"fax_number": "912-691-1953",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "D SCOTT",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "1039",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "02002731A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01182507",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300025719",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "483409800D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "O10393",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "483409800C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009976045",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "483409800",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "483409800B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.