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

Individual Male Surgery Pediatric Surgery PECOS Enrolled

About DR. JAMES T. MOORE M.D.

James Moore is a provider established in Baltimore, Maryland and his medical specialization is Surgery with a focus in pediatric surgery . The NPI number of James Moore is 1053335786 and was assigned on July 2006. The practitioner's primary taxonomy code is 2086S0120X with license number D61840 (MD). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1053335786
Provider NameDR. JAMES T. MOORE M.D.
Provider Location Address22 S GREENE ST BALTIMORE, MD 21201
Provider Mailing AddressPO BOX 64226 BALTIMORE, MD 21264
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date07-26-2006
Last Update Date09-19-2019

James Moore is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..

James Moore is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.



Primary Taxonomy

Taxonomy Code2086S0120X
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
SpecializationPediatric Surgery
License No.D61840
License StateMD
Taxonomy DescriptionA surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Business Address

DR. JAMES T. MOORE M.D.
22 S GREENE ST
BALTIMORE, MD
ZIP 21201
Phone: (410) 328-6897
Fax: (410) 328-2109

Get Directions


Mailing Address

DR. JAMES T. MOORE M.D.
PO BOX 64226
BALTIMORE, MD
ZIP 21264
Phone: (410) 328-6897
Fax: (410) 328-2109


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1208600000XAllopathic & Osteopathic PhysiciansSurgeryD61840MDNo

Taxonomy Description: a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0094OTHER (01)MDCAREFIRST REGIONAL
243678OTHER (01)MDKAISER
2458751OTHER (01)MDUNITED HLTHCARE NATIONAL
1703271OTHER (01)MDUNITED HLTHCARE
88880OTHER (01)MDGEISINGER
64280701OTHER (01)MDBLUE SHIELD
2125712OTHER (01)MDMDIPA
405966200MEDICAID (05)MD

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1053335786
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201036310716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 6 + 3 + 1 + 0 + 7 + 1 + 6 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1053335786 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750383063MS. MALINDA DANIEL DUKE CPNP, CDE
Individual
Nurse Practitioner (Pediatrics)22 S GREENE ST RM N6W84
BALTIMORE, MD 21201
(410) 328-3410
1700881802DR. MARIA BAER MD
Individual
Internal Medicine (Hematology & Oncology)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-8708
1982604773 MICHELLE DUELL CRNA
Individual
Specialist22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6704
1003817131DR. LISA MANUELA MARTINEZ M.D.
Individual
Internal Medicine22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-9595
1164416400DR. KIRSTEN ELLIZABETH LYKE M.D.
Individual
Internal Medicine (Infectious Disease)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-5793
1225023278MR. CHRISTOPHER OUDEKERK CRNA
Individual
Nurse Anesthetist, Certified Registered22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6704
1942296124DR. MARCIA A MCAVOY M.D.
Individual
Radiology (Diagnostic Radiology)22 S GREENE ST DEPT. OF RADIOLOGY
BALTIMORE, MD 21201
(410) 328-3477
1649266610DR. GEORGE W GROSS MD
Individual
Radiology (Diagnostic Radiology)22 S GREENE ST ROOM N2E23
BALTIMORE, MD 21201
(410) 328-5656
1568459733MRS. DARBI NICHOLE ROBINSON CRNP
Individual
Nurse Practitioner22 S GREENE ST NEONATOLOGY DEPARTMENT
BALTIMORE, MD 21201
(410) 328-6717
1376534222DR. PETR FRANTISEK HAUSNER MD
Individual
Internal Medicine (Medical Oncology)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-2567
1427039940 ROGER DAVID BAXTER CRNA
Individual
Nurse Anesthetist, Certified Registered22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6704
1154303998DR. RAYMOND FANG M.D.
Individual
Surgery (Surgical Critical Care)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6704
1497730592 MAYURIKA GHOSH MD
Individual
Internal Medicine (Infectious Disease)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-2463
1790763993DR. THOMAS M SCALEA M.D.
Individual
Surgery (Trauma Surgery)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6566
1649250622DR. KENT EDWARD KESTER M.D.
Individual
Internal Medicine (Infectious Disease)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6704
1518939925DR. WILLIAM C CHIU M.D.
Individual
Surgery (Trauma Surgery)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6566
1417921735DR. ELLIOT MICHAEL JESSIE M.D.
Individual
Surgery (Trauma Surgery)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6704
1740259274DR. MANGLA S GULATI M.D.
Individual
Hospitalist22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-5793
1720047129 HEATHER D MANNUEL MD
Individual
Internal Medicine (Medical Oncology)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-2567
1619937539DR. RAJABRATA SARKAR M.D., PH.D.
Individual
Surgery (Vascular Surgery)22 S GREENE ST S10B00
BALTIMORE, MD 21201
(410) 328-5840

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. James T. Moore M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.