1. Home
  2. Directory
  3. Michigan
  4. Saginaw
  5. Pediatrics
  6. NPI Profile

MARY D MOORE M.D.
NPI 1275502445
Pediatrics - Pediatric Rheumatology in Saginaw, MI

Active since March 17, 2006PECOS Enrolled
1000 HOUGHTON AVE, SAGINAW, MI 48602(989) 746-7500(989) 746-7752 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mary D Moore M.d. NPPES

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

MARY D MOORE M.D. (NPI 1275502445) is an individual pediatric rheumatology provider in Saginaw, Michigan, licensed in Michigan (4301080845) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275502445
Entity TypeIndividualFemale
Primary Taxonomy2080P0216X
Provider Legal NameMARY D MOORECredential: M.D.
Location Address1000 HOUGHTON AVESaginaw, MI 48602-5303
Mailing Address1000 Houghton AveSaginaw, MI 48602-5303 · (989) 746-7500 · Fax (989) 746-7752
Phone(989) 746-7500
Fax(989) 746-7752
Sole ProprietorNo
Enumeration DateMarch 17, 2006
Last NPPES UpdateMarch 30, 2021
NPPES CertifiedMarch 30, 2021
✔ NPI 1275502445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0216X
License✔ Licensed in MI · 4301080845
Definition
A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1000 HOUGHTON AVE, Saginaw, MI 48602
Open in Google Maps ↗

Other Identifiers 2

Other3503906282Bcbs
Medicaid4440356MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary D Moore 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

2

Medicare enrollment records show Mary Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saginaw Cooperative Hospitals, Inc
Same address
Colon & Rectal Surgery
1000 HOUGHTON AVE
Saginaw, MI 48602
  • Reassigned Medicare billing, Michigan enrollment
  • 194 clinicians in this Medicare group
NPI 1225460926 (989) 746-7500
Western Michigan University School Of Medicine
115 mi
Multi-Specialty
1000 OAKLAND DR
Kalamazoo, MI 49008
  • Reassigned Medicare billing, Michigan enrollment
  • 151 clinicians in this Medicare group
NPI 1316212343 (269) 337-6019

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JERRY XAVIER
Internal Medicine
1000 HOUGHTON AVE, 1100 INTERNAL MEDICINE
SAGINAW, MI 48602
Saginaw County (989) 583-5826
MRS. VERONIKA KINASCHUK M.D.
Obstetrics & Gynecology
1000 HOUGHTON AVE
SAGINAW, MI 48602
Saginaw County (989) 746-7500
DR. MEAGAN CROFOOT MD
Emergency Medicine
1000 HOUGHTON AVE
SAGINAW, MI 48602
Saginaw County (989) 583-6800
KATIE ANN LONDOS
Nurse Practitioner (Pediatrics)
1000 HOUGHTON AVE
SAGINAW, MI 48602
Saginaw County (989) 746-7500
PAVAN SHIVANI SINGH MD
Pediatrics
1000 HOUGHTON AVE
SAGINAW, MI 48602
Saginaw County (947) 362-4191
DR. OMAIMA ALI A AL SINAN M.D
Obstetrics & Gynecology
1000 HOUGHTON AVE
SAGINAW, MI 48602
Saginaw County (989) 583-6828
SHAFIA BEG M.D.
Internal Medicine
1000 HOUGHTON AVE
SAGINAW, MI 48602
Saginaw County (989) 583-6800
SUMMER KIZY
Student in an Organized Health Care Education/Training Program
1000 HOUGHTON AVE
SAGINAW, MI 48602
Saginaw County (989) 583-7000

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 Mary Moore's NPI number?

The NPI number for Mary Moore is 1275502445. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Mary Moore located?

Mary Moore practices at 1000 Houghton Ave, Saginaw, MI 48602. The listed phone number is (989) 746-7500.

What is Mary Moore's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.

Is Mary Moore enrolled in Medicare?

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

Which organizations bill Medicare for Mary Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Moore reassigns Medicare benefits to 2 organizations: Saginaw Cooperative Hospitals, Inc (Saginaw, MI) and Western Michigan University School Of Medicine (Kalamazoo, MI). 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 Mary Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Moore accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Mary 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 Mary Moore was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.