DR. RYAN THOMAS MOORE MD
NPI 1063493880
Pediatrics - Neonatal-Perinatal Medicine in Greenville, NC

Active since November 09, 2005PECOS Enrolled
2100 STANTONSBURG RD, GREENVILLE, NC 27834(252) 847-4378(252) 847-9943 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 11, 2020, Nov 10, 2015 (2 updates tracked since 2015).

About Dr. Ryan Thomas Moore Md NPPES

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

DR. RYAN THOMAS MOORE MD (NPI 1063493880) is an individual neonatal-perinatal medicine provider in Greenville, North Carolina, licensed in North Carolina (2014-01603) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063493880
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. RYAN THOMAS MOORECredential: MD
Location Address2100 STANTONSBURG RDGreenville, NC 27834-2818
Mailing AddressPo Box 751069Charlotte, NC 28275-1069
Fax(252) 847-9943
Sole ProprietorNo
Enumeration DateNovember 9, 2005
Last NPPES UpdateFebruary 22, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2024
NPI 1063493880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses Licensed in NC · 2014-01603 Licensed in VA · 0101237078
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 0101237078 (VA)
2100 STANTONSBURG RD, Greenville, NC 27834

Other Identifiers 2

Other19CN7NC · Bcbs Nc
Medicaid1063493880NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Ryan Thomas Moore Md 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.

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.

Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Physician Assistant
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Emergency Medicine (Sports Medicine)
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834

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 Ryan Moore's NPI number?

The NPI number for Ryan Moore is 1063493880. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Ryan Moore located?

Ryan Moore practices at 2100 Stantonsburg Rd, Greenville, NC 27834. The listed phone number is (252) 847-4378.

What is Ryan Moore's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Ryan Moore enrolled in Medicare?

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

What insurance does Ryan Moore accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Ryan Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ryan Moore was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.