JONATHAN MOORE
NPI 1215433248
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since March 30, 2018PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
4301 W MARKHAM ST # 556, LITTLE ROCK, AR 72205(501) 603-1595 Get Directions Write a Review

NPPES record last updated: March 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan Moore NPPES

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

JONATHAN MOORE (NPI 1215433248) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2018).

NPPES Registry Identity

NPI1215433248
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHAN MOORE
Location Address4301 W MARKHAM ST # 556Little Rock, AR 72205-7101
Mailing Address6925 Cobblestone Way NMobile, AL 36608-4484 · (251) 648-9702
Sole ProprietorYes
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2018
Enumeration DateMarch 30, 2018
NPI 1215433248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
4301 W MARKHAM ST # 556, Little Rock, AR 72205

Accepted 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

Jonathan Moore 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 ID4385992817
PECOS Enrollment IDI20240725001092
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.

Areas of Expertise CMS Part B claims 33

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
275 services237 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
212 services212 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
99 services98 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
97 services96 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
83 services83 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
82 services81 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

Internal Medicine (Medical Oncology)
4301 W MARKHAM ST # 556
LITTLE ROCK, AR 72205
Nurse Practitioner (Acute Care)
4301 W MARKHAM ST # 556
LITTLE ROCK, AR 72205
Radiology (Diagnostic Radiology)
4301 W MARKHAM ST # 556
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 556
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 556
LITTLE ROCK, AR 72205
Internal Medicine (Infectious Disease)
4301 W MARKHAM ST # 556
LITTLE ROCK, AR 72205
Nurse Practitioner (Acute Care)
4301 W MARKHAM ST # 556
LITTLE ROCK, AR 72205
Physician Assistant
4301 W MARKHAM ST # 556
LITTLE ROCK, AR 72205

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 Jonathan Moore's NPI number?

The NPI number for Jonathan Moore is 1215433248. It was assigned to this individual provider in the NPPES registry on March 30, 2018.

Where is Jonathan Moore located?

Jonathan Moore practices at 4301 W Markham St # 556, Little Rock, AR 72205. The listed phone number is (501) 603-1595.

What is Jonathan 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 Jonathan Moore enrolled in Medicare?

Yes. Jonathan 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.

What insurance does Jonathan Moore accept?

Health plans from Blue Cross and Blue Shield of Alabama list Jonathan Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Moore was last updated on March 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.