Blake Walter Moore, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

0101256077 Issued in VA

Practice address

9101 Stony Point Dr.
Richmond, VA 23235

Phone

(804) 330-9105

Fax

(804) 287-6119

NPI assigned

Jul 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 10

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Urology

Education

Virginia Commonwealth Univ School of Dentistry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Virginia Urology CenterGroup PAC ID 2365339264, 89 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
• Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136
• Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
• Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032
• CJW Medical Center Hospital, Richmond, VA, CCN 490112

Merit-based Incentive Payment System (MIPS)

Final score

77.01 of 100Reported as group

Quality

47.65

Promoting interoperability

100

Improvement activities

40

Cost

75.7

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: blake.moore.1@30293.direct.athenahealth.com

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.

• Virginia Urology Center

  • Urology Physician
  • Richmond, VA
  • NPI 1164485876
  Medicare reassignment Care Compare group NPD
• Virginia Urology Center, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Richmond, VA
  • NPI 1184979833
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bon Secours St Francis Medical Center LLC

  • Obstetrics & Gynecology Physician
  • Midlothian, VA
  • NPI 1003849381

  Hospital

  Care Compare affiliation
• Bon Secours St Francis Medical Center LLC

  • General Acute Care Hospital
  • Midlothian, VA
  • NPI 1447212592
  Care Compare affiliation
• Bon Secours St Mary'S Hospital of Richmond LLC

  • Clinical Medical Laboratory
  • Richmond, VA
  • NPI 1588129480

  Hospital

  Care Compare affiliation
• Bon Secours St. Francis Medical Center Inc

  • Surgery Physician
  • Midlothian, VA
  • NPI 1427293133

  Hospital

  Care Compare affiliation
• Bon Secours St. Francis Medical Center Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Colonial Heights, VA
  • NPI 1518244854

  Hospital

  Care Compare affiliation
• Bon Secours St. Francis Medical Center Inc

  • Neurology Physician
  • Chester, VA
  • NPI 1811228711

  Hospital

  Care Compare affiliation
• Bon Secours St. Francis Medical Center LLC

  • Internal Medicine Physician
  • Midlothian, VA
  • NPI 1053698399

  Hospital

  Care Compare affiliation
• Bon Secours St. Francis Medical Center LLC

  • Family Medicine Physician
  • Midlothian, VA
  • NPI 1497788806

  Hospital

  Care Compare affiliation
• Bon Secours St. Francis Medical Center LLC

  • Family Medicine Physician
  • Chester, VA
  • NPI 1801173141

  Hospital

  Care Compare affiliation
• Bon Secours St. Francis Medical Center LLC

  • Family Medicine Physician
  • Powhatan, VA
  • NPI 1891071965

  Hospital

  Care Compare affiliation
• Bon Secours St. Francis Medical Center, Inc.

  • Family Medicine Physician
  • Richmond, VA
  • NPI 1225265630

  Hospital

  Care Compare affiliation
• Bon Secours St. Francis Medical Center, Inc.

  • Hematology & Oncology Physician
  • Midlothian, VA
  • NPI 1649536764

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1992903769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 STONY POINT DR.",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23235",
            "telephone_number": "804-330-9105",
            "fax_number": "804-287-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 STONY POINT DR.",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23235",
            "telephone_number": "804-330-9105",
            "fax_number": "804-287-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BLAKE",
        "middle_name": "WALTER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101256077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET FEDERAL SERVICES",
            "identifier": "1992903769",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA HEALTH NETWORK",
            "identifier": "1992903769",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992903769",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA CHOICE CARE",
            "identifier": "1992903769",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS VA",
            "identifier": "1992903769",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "1992903769",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTHCARE/COVENTRY",
            "identifier": "1992903769",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5604405",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7505953",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA PREMIER",
            "identifier": "1992903769",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "fhir.virginiaurology.com",
            "affiliation": "N",
            "address_1": "9101 Stony Point Dr.",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "23235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Sakiyo Mooneyham
• Alicia Marie Mooradian, LCSW
• Moore Cole Group, Inc
• Anne S. Moore, ACNP
• Antuane Ramon Moore
• Caitlin Moore, PHARMD
• Charles C. Moore Jr., M.D.
• Charles H Moore, CRNA, PHD
• Chelsea K. Moore, NP
• Corey Scott Moore, MD

• Urology Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Urology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.