DR. JAMES T. MOORE M.D.
NPI 1053335786
Surgery - Pediatric Surgery in Baltimore, MD

Active since July 26, 2006PECOS Enrolled
22 S GREENE ST, BALTIMORE, MD 21201(410) 328-6897(410) 328-2109 Get Directions Write a Review

NPPES record last updated: September 19, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. James T. Moore M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES T. MOORE M.D. (NPI 1053335786) is an individual pediatric surgery provider in Baltimore, Maryland, licensed in Maryland (D61840) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053335786
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameDR. JAMES T. MOORECredential: M.D.
Location Address22 S GREENE STBaltimore, MD 21201-1544
Mailing AddressPo Box 64226Baltimore, MD 21264-4742 · (410) 328-6897 · Fax (410) 328-2109
Fax(410) 328-2109
Sole ProprietorNo
Enumeration DateJuly 26, 2006
Last NPPES UpdateSeptember 19, 2019
✔ NPI 1053335786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in MD · D61840
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedSurgeryTaxonomy 208600000X · License D61840 (MD)
22 S GREENE ST, Baltimore, MD 21201

Other Identifiers 8

Other0094MD · Carefirst Regional
Other243678MD · Kaiser
Other2458751MD · United Hlthcare National
Other1703271MD · United Hlthcare
Other88880MD · Geisinger
Other64280701MD · Blue Shield
Other2125712MD · Mdipa
Medicaid405966200MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James T. Moore M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show James Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
419 W REDWOOD ST
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • 201 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.

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.

Internal Medicine
22 S GREENE ST
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, MEDICINE, N3E09
BALTIMORE, MD 21201
Physician Assistant (Medical)
22 S GREENE ST, G2K36
BALTIMORE, MD 21201
Pediatrics (Adolescent Medicine)
22 S GREENE ST
BALTIMORE, MD 21201
Nurse Practitioner (Acute Care)
22 S GREENE ST, SUITE S4D07
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, N3E09
BALTIMORE, MD 21201
Internal Medicine
22 S GREENE ST
BALTIMORE, MD 21201
Internal Medicine
22 S GREENE ST, N3E09
BALTIMORE, MD 21201

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 James Moore's NPI number?

The NPI number for James Moore is 1053335786. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is James Moore located?

James Moore practices at 22 S Greene St, Baltimore, MD 21201. The listed phone number is (410) 328-6897.

What is James Moore's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is James Moore enrolled in Medicare?

Yes. James Moore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Moore reassigns Medicare benefits to University Of Maryland Surgical Associates, PA (Baltimore, MD). 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 James 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 James Moore was last updated on September 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.