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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. GLENNDALE MOORE M.D.
NPI 1164485033
Internal Medicine - Cardiovascular Disease in Raleigh, NC

Active since April 10, 2006PECOS Enrolled
2949 NEW BERN AVE, SUITE 112-A, RALEIGH, NC 27610(919) 231-3614(919) 212-9029 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Glenndale Moore M.d. NPPES

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

DR. GLENNDALE MOORE M.D. (NPI 1164485033) is an individual cardiovascular disease provider in Raleigh, North Carolina, licensed in North Carolina (24609) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of Wake Forest University School Of Medicine (1979).

NPPES Registry Identity

NPI1164485033
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. GLENNDALE MOORECredential: M.D.
Location Address2949 NEW BERN AVE, SUITE 112-ARaleigh, NC 27610-1248
Mailing AddressPo Box 28510Raleigh, NC 27611-8510 · (919) 231-3614 · Fax (919) 212-9029
Phone(919) 231-3614
Fax(919) 212-9029
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 1979
Enumeration DateApril 10, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1164485033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NC · 24609
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

2949 NEW BERN AVE, Raleigh, NC 27610
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Glenndale 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.

PECOS PAC ID1052441581
PECOS Enrollment IDI20100610000252
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27610 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MAWIYAH KAMBON PH.D.
Psychologist (Clinical)
2949 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 231-2109
DR. BETTY KING SUTTON DMD
Dentist (General Practice)
2949 NEW BERN AVE, SUITE 109-A
RALEIGH, NC 27610
Wake County (919) 231-4569
DR. ERNEST LENWOOD SANDERS JR. M.D.
Family Medicine (Adult Medicine)
2949 NEW BERN AVE, SUITE 108
RALEIGH, NC 27610
Wake County (919) 231-4454
ONIPA PSYCHOLOGICAL AND CONSULTING SERVICES, PLLC
Community/Behavioral Health
2949 NEW BERN AVE, SUITE 112B
RALEIGH, NC 27610
Wake County (919) 231-2109
DR. BETTY K. SUTTON
Clinic/Center (Dental)
2949 NEW BERN AVE, SUITE 109A
RALEIGH, NC 27610
Wake County (919) 231-4569
ONE VILLAGE ONE WORLD ENHANCED SERVICES, LLC
Community/Behavioral Health
2949 NEW BERN AVE, SUITE 110
RALEIGH, NC 27610
Wake County (919) 940-0050
SOLUTION FOCUSED SERVICES, LLC
Counselor
2949 NEW BERN AVE, SUITE 110-B
RALEIGH, NC 27610
Wake County (919) 609-6760
1ST OPPORTUNITY BEHAVIORAL HEALTH
Counselor (Mental Health)
2949 NEW BERN AVE, SUITE 110-B
RALEIGH, NC 27610
Wake County (919) 345-6882

Frequently Asked Questions

What is Glenndale Moore's NPI number?

The NPI number assigned to this healthcare provider is 1164485033, enumerated as an "individual" on April 10, 2006.

Where is the provider located?

The provider is located at 2949 NEW BERN AVE SUITE 112-A RALEIGH, NC 27610 and the phone number is (919) 231-3614.

What is the provider's specialty?

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

What insurance does Glenndale Moore accept?

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC and. Please consult your insurance carrier or call the provider to verify.

Is Glenndale Moore affiliated with any hospitals?

Glenndale Moore is affiliated with: WAKEMED, RALEIGH CAMPUS.