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DR. AMANDA THERESA MOON M.D.
NPI 1144541186
Dermatology in Philadelphia, PA

Active since June 14, 2010PECOS Enrolled
219 N BROAD ST, 4TH FLOOR, PHILADELPHIA, PA 19107(215) 762-5550 Get Directions Write a Review

NPPES record last updated: September 13, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Amanda Theresa Moon M.d. NPPES

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

DR. AMANDA THERESA MOON M.D. (NPI 1144541186) is an individual dermatology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD013064E) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144541186
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. AMANDA THERESA MOONCredential: M.D.
Location Address219 N BROAD ST, 4TH FLOORPhiladelphia, PA 19107-1519
Mailing Address1601 Cherry St, Suite 11511Philadelphia, PA 19102-1320 · (215) 255-7822 · Fax (215) 255-7825
Phone(215) 762-5550
Sole ProprietorYes
Enumeration DateJune 14, 2010
Last NPPES UpdateSeptember 13, 2016
✔ NPI 1144541186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in PA · MD013064E
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
219 N BROAD ST, Philadelphia, PA 19107
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Other Names 1

Former Name (1)Dr. Amanda Theresa Carolfi M.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amanda Theresa Moon 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 Reassignments

3

Medicare enrollment records show Amanda Moon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Drexel University
Same address
Sleep Medicine
219 N BROAD ST FL 9
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 335 clinicians in this Medicare group
NPI 1740335603 (215) 762-2688
Childrens Health Care Associates, Inc
1.6 mi
Neurology
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,225 clinicians in this Medicare group
NPI 1033204086 (215) 590-1000
Children's Health Care Associates Of New Jersey PC
12 mi
Pediatrics
1012 LAUREL OAK RD, SPECIALTY CENTER AT VOORHEES - CHOP
Voorhees, NJ 08043
  • Reassigned Medicare billing, New Jersey enrollment
  • 190 clinicians in this Medicare group
NPI 1669567681 (856) 435-1300

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 19107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

EVA HASSAN ALSHEIK M.D.
Internal Medicine (Gastroenterology)
219 N BROAD ST, 5TH FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 762-6071
STEVEN PEITZMAN MD
Internal Medicine (Nephrology)
219 N BROAD ST, 5TH FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 762-6144
DREXEL UNIVERSITY
Internal Medicine (Infectious Disease)
219 N BROAD ST, 5TH FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 762-6555
DREXEL UNIVERSITY
Psychiatry & Neurology (Neurology)
219 N BROAD ST, 7TH FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 762-6915
MICHAEL S SHERMAN MD
Internal Medicine (Pulmonary Disease)
219 N BROAD ST, 9TH FL
PHILADELPHIA, PA 19107
Philadelphia County (215) 762-2688
JOANNE E GETSY MD
Internal Medicine (Sleep Medicine)
219 N BROAD ST, 9TH FL
PHILADELPHIA, PA 19107
Philadelphia County (215) 762-2688
PHILADELPHIA HEALTH & EDUCATION CORP
Internal Medicine (Infectious Disease)
219 N BROAD ST, 5TH FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 762-6555
DIANA M MORGENSTERN MD
Internal Medicine
219 N BROAD ST, 6TH FLOOR
PHILA, PA 19107
Philadelphia County (215) 762-5181

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 Amanda Moon's NPI number?

The NPI number for Amanda Moon is 1144541186. It was assigned to this individual provider in the NPPES registry on June 14, 2010. The provider is also known as Dr. Amanda Theresa Carolfi M.D..

Where is Amanda Moon located?

Amanda Moon practices at 219 N Broad St 4th Floor, Philadelphia, PA 19107. The listed phone number is (215) 762-5550.

What is Amanda Moon's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Amanda Moon enrolled in Medicare?

Yes. Amanda Moon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amanda Moon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Moon reassigns Medicare benefits to 3 organizations: Drexel University (Philadelphia, PA), Childrens Health Care Associates, Inc (Philadelphia, PA) and Children's Health Care Associates Of New Jersey PC (Voorhees, NJ). 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 Amanda Moon'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 Amanda Moon was last updated on September 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.