Active NPI
Stephen Moore, DPM
- Foot & Ankle Surgery Podiatrist
- Shenandoah, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 2142
- Practice address
- 9201 Pinecroft Dr
Shenandoah, TX 77380-3222 - Phone
- (832) 246-8000
- NPI assigned
- May 1, 2015
- Last updated
- May 1, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 2142 | TX | Primary |
Addresses
Primary practice location
9201 Pinecroft Dr
Shenandoah, TX 77380-3222
Mailing address
9201 Pinecroft Dr
Shenandoah, TX 77380-3222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17350 St Lukes Way
Suite 200
The Woodlands, TX 77384-4103
Phone (936) 447-9491
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 153 |
| Removal of nail tissue | 343 |
| Removal or shaving of skin growth | 123 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor St. Luke's Medical Group | Current | Accepting new patients | |
| Baylor College of Medicine | Past | Accepting new patients |
Locations
2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835
20207 Chasewood Park Dr
Ste 300
Houston, TX 77070
Phone (832) 534-7800
6624 Fannin St
Ste 1240
Houston, TX 77030
Phone (832) 355-5575
22710 Professional Dr
Kingwood, TX 77339
Phone (281) 298-2847
120 Flag Lake Dr
Ste 1
Lake Jackson, TX 77566
Phone (979) 299-6900
9201 Pinecroft Dr
Ste 230
Shenandoah, TX 77380
Phone (281) 419-3820
9201 Pinecroft Dr
Ste 240
Shenandoah, TX 77380
Phone (832) 299-6311
9201 Pinecroft Dr
Ste 295
Shenandoah, TX 77380
17198 St Lukes Way
Ste 440
The Woodlands, TX 77384
Phone (936) 266-2500
17350 St Lukes Way
Ste 200
The Woodlands, TX 77384
Phone (936) 266-2180
17350 St Lukes Way
Ste 400
The Woodlands, TX 77384
Phone (832) 249-3721
506 Graham Dr
Ste 230
Tomball, TX 77375
Phone (281) 205-7522
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JIHBCA
- smoore54469@direct.stlukeshealth.org
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- The Woodlands, TX
- NPI 1740485879
-
- Orthopaedic Surgery Physician
- Sugar Land, TX
- NPI 1700683844
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MHHS NW Radiation Therapy
- Radiology Clinic/Center
- Houston, TX
- NPI 1013948553
Hospital
-
dba MHHS Woodlands Outpatient Imaging System
- Radiology Clinic/Center
- The Woodlands, TX
- NPI 1275564858
Hospital
-
dba Memorial Hermann Outpatient Imaging-Southwest
- Radiology Clinic/Center
- Houston, TX
- NPI 1407959448
Hospital
-
dba MHHS Friendswood Imaging
- Radiology Clinic/Center
- Friendswood, TX
- NPI 1508896267
Hospital
-
dba MHHS Pearland Outpatient Imaging Center
- Radiology Clinic/Center
- Pearland, TX
- NPI 1669402335
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
dba St Luke's Lakeside Hospital
- Special Hospital
- The Woodlands, TX
- NPI 1184868879
-
dba St. Luke's The Woodlands Hospital
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1942208616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430438400000",
"number": "1972980670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9201 PINECROFT DR",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9201 PINECROFT DR",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803222",
"telephone_number": "832-246-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-01",
"last_updated": "2015-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "2142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.