MR. TAVARES MOORE
NPI 1033627526
Social Worker - Clinical in Rockford, IL
About Mr. Tavares Moore NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TAVARES MOORE (NPI 1033627526) is an individual clinical provider in Rockford, Illinois, licensed in Illinois (149015884) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Tavares Moore is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Tavares Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rockford, IL 61108
- Reassigned Medicare billing, Illinois enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tavares Moore's NPI number?
The NPI number for Tavares Moore is 1033627526. It was assigned to this individual provider in the NPPES registry on January 18, 2018.
Where is Tavares Moore located?
Tavares Moore practices at 816 Featherstone Rd, Rockford, IL 61107. The listed phone number is (815) 227-0081.
What is Tavares Moore's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Tavares Moore enrolled in Medicare?
Yes. Tavares Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Tavares Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tavares Moore reassigns Medicare benefits to Renita Shores-Gaston (Rockford, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tavares Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tavares Moore was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Tavares Moore · NPI 1033627526
Clinical provider in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since January 18, 2018.
## Identity
- **NPI:** 1033627526 (Entity type: Individual)
- **Enumerated:** January 18, 2018
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 149015884 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 816 FEATHERSTONE RD, Rockford, IL 61107-6300
- **Phone:** (815) 227-0081
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Renita Shores-Gaston (NPI 1518421577, Rockford, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** January 26, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1033627526) · Data from the CMS NPPES public registry.