DAVID JAN MOORE M.D.
NPI 1114389780
Emergency Medicine in Bronx, NY
About David Jan Moore M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID JAN MOORE M.D. (NPI 1114389780) is an individual emergency medicine provider in Bronx, New York, licensed in New York (297052) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Westchester Medical Center, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
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
David Jan Moore M.d. 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 Reassignments
4Medicare enrollment records show David Moore reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Far Rockaway, NY 11691
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Island Emergency Medical Services PC
- 290 clinicians in this Medicare group
Cortlandt Manor, NY 10567
- Reassigned Medicare billing, New York enrollment
- 33 clinicians in this Medicare group
Poughkeepsie, NY 12601
- Reassigned Medicare billing, New York enrollment
- 235 clinicians in this Medicare group
Ellenville, NY 12428
- Reassigned Medicare billing, New York enrollment
- 11 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Westchester Medical Center
Acute Care Hospitals · Valhalla, NYEllenville Regional Hospital
Critical Access Hospitals · Ellenville, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10471 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 David Moore's NPI number?
The NPI number for David Moore is 1114389780. It was assigned to this individual provider in the NPPES registry on March 23, 2016.
Where is David Moore located?
David Moore practices at 6015 Tyndall Ave, Bronx, NY 10471. The listed phone number is (718) 764-3556.
What is David Moore's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is David Moore enrolled in Medicare?
Yes. David 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 organizations bill Medicare for David Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Moore reassigns Medicare benefits to 4 organizations: Island Emergency Medical Services, P.C. (Far Rockaway, NY), Emergency Medical Association Of New York PC (Cortlandt Manor, NY), Physicians Medical Associates New York PC (Poughkeepsie, NY) and Ellenville Emergency Medical Associates PLLC (Ellenville, NY). Each 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 David Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is David Moore affiliated with any hospitals?
According to CMS data, David Moore is affiliated with Westchester Medical Center and Ellenville Regional Hospital.
When was this NPI record last updated?
The NPPES record for David Moore was last updated on January 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# David Jan Moore, M.D. · NPI 1114389780
Emergency Medicine physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since March 23, 2016.
## Identity
- **NPI:** 1114389780 (Entity type: Individual)
- **Enumerated:** March 23, 2016
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 297052 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 6015 TYNDALL AVE, Bronx, NY 10471-1812
- **Phone:** (718) 764-3556
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Island Emergency Medical Services, P.C. (NPI 1639160385, Far Rockaway, NY); Emergency Medical Association Of New York PC (NPI 1952356347, Cortlandt Manor, NY); Physicians Medical Associates New York PC (NPI 1487409702, Poughkeepsie, NY); Ellenville Emergency Medical Associates PLLC (NPI 1477945905, Ellenville, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** January 6, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1114389780) · Data from the CMS NPPES public registry.