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MATTHEW MOORE MD
NPI 1164261087
Student in an Organized Health Care Education/Training Program in Lafayette, LA

Active since May 21, 2024PECOS Enrolled
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503(337) 289-8193 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Moore Md NPPES

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

MATTHEW MOORE MD (NPI 1164261087) is an individual student in an organized health care education/training program in Lafayette, Louisiana and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164261087
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW MOORECredential: MD
Location Address1214 COOLIDGE BLVDLafayette, LA 70503-2621
Mailing Address1042 Camellia Blvd Apt 3409Lafayette, LA 70508-6692
Phone(337) 289-8193
Sole ProprietorNo
Enumeration DateMay 21, 2024
NPPES CertifiedMay 21, 2024
✔ NPI 1164261087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1214 COOLIDGE BLVD, Lafayette, LA 70503
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew 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.

MRS. JAMILA ANDERSON NP
Nurse Practitioner (Family)
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503
Lafayette Parish (337) 289-7991
AHMAD ISSA ANBAR MD
Student in an Organized Health Care Education/Training Program
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503
Lafayette Parish (337) 289-7991
DR. MATTHEW SHANE FONTENOT M.D.
Internal Medicine (Nephrology)
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503
Lafayette Parish (337) 289-7927
LANCE FOGLEMAN
Emergency Medicine
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503
Lafayette Parish (337) 501-3698
MRS. CHELSEA NOEL TORRENCE
Nurse Anesthetist, Certified Registered
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503
Lafayette Parish (337) 289-7991
MARIE COMEAUX
Surgery
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503
Lafayette Parish (337) 571-8540
LESLIE GAIL ALDRIDGE NURSE PRACTITIONER
Nurse Practitioner (Acute Care)
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503
Lafayette Parish (337) 289-7991
MR. JOHNATHAN THERON LARROQUETTE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503
Lafayette Parish (337) 289-7991

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 Matthew Moore's NPI number?

The NPI number for Matthew Moore is 1164261087. It was assigned to this individual provider in the NPPES registry on May 21, 2024.

Where is Matthew Moore located?

Matthew Moore practices at 1214 Coolidge Blvd, Lafayette, LA 70503. The listed phone number is (337) 289-8193.

What is Matthew Moore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Matthew Moore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Matthew Moore was last updated on May 21, 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.