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RACHELLE ELIZABETH MOORE MD
NPI 1194389239
Surgery in Detroit, MI

Active since April 24, 2019PECOS Enrolled
2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 14, 2026, Apr 24, 2019 (2 updates tracked since 2019).

About Rachelle Elizabeth Moore Md NPPES

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

RACHELLE ELIZABETH MOORE MD (NPI 1194389239) is an individual surgery provider in Detroit, Michigan, licensed in Michigan (4301514065) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1194389239
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameRACHELLE ELIZABETH MOORECredential: MD
Location Address2799 W GRAND BLVDDetroit, MI 48202-2608
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (800) 436-7936
Phone(313) 916-2600
Sole ProprietorNo
Enumeration DateApril 24, 2019
Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1194389239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · 4301514065
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 4301514065 (MI)
2799 W GRAND BLVD, Detroit, MI 48202
Open in Google Maps ↗

Secondary Practice Location 1

Location 14120 John R Road, Suite 615 Harper Professional BuildingDetroit, MI 48201 · Phone (313) 745-4195 · Fax (313) 993-8669

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachelle Elizabeth 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.

Medicare Billing Reassignment

Medicare enrollment records show Rachelle Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Henry Ford Health System
Same address
Pediatrics
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 1,886 clinicians in this Medicare group
NPI 1003990318 (313) 916-2600

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 48202 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

HENRY FORD HOSPITAL
General Acute Care Hospital
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
DR. BRENT DAVID GRIFFITH M.D.
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
KANIKA KHANNA M.D
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
DR. FADL A CHOKR M.D.
Family Medicine
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
AVI COHEN M.D.
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
LINDSEY AURORA
Internal Medicine (Cardiovascular Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
KYLE KRUPA
Nurse Anesthetist, Certified Registered
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
ALEXANDER GARBARINO
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600

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 Rachelle Moore's NPI number?

The NPI number for Rachelle Moore is 1194389239. It was assigned to this individual provider in the NPPES registry on April 24, 2019.

Where is Rachelle Moore located?

Rachelle Moore practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-2600.

What is Rachelle Moore's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Rachelle Moore enrolled in Medicare?

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

Which organization bills Medicare for Rachelle Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachelle Moore reassigns Medicare benefits to Henry Ford Health System (Detroit, MI). The 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 Rachelle Moore'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 Rachelle Moore was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.