DR. J. KATHLEEN MOORE MD
NPI 1407940547
Pediatrics in Dallas, TX

Q: What is J. Kathleen Moore's NPI number?

The NPI number for J. Kathleen Moore is 1407940547. It was assigned to this individual provider in the NPPES registry on October 3, 2006. The provider is also known as Dr. Jerri Kathleen Moore MD.

Q: What is J. Kathleen Moore's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for J. Kathleen Moore was last updated on October 19, 2023. 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.

Active since October 03, 2006PECOS Enrolled

809 SINGLETON BLVD, DALLAS, TX 75212(214) 540-0300(214) 540-0308 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2023, May 15, 2023, Jul 18, 2018 (3 updates tracked since 2018).

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About Dr. J. Kathleen Moore Md NPPES

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

DR. J. KATHLEEN MOORE MD (NPI 1407940547) is an individual pediatrics provider in Dallas, Texas, licensed in Texas (J0605) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407940547

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. J. KATHLEEN MOORECredential: MD

Location Address809 SINGLETON BLVDDallas, TX 75212-4014

Mailing Address809 Singleton BlvdDallas, TX 75212-4014 · (214) 540-0300 · Fax (214) 540-0308

Phone(214) 540-0300

Fax(214) 540-0308

Sole ProprietorNo

Enumeration DateOctober 3, 2006

Last NPPES UpdateOctober 19, 20233 updates tracked since enumeration

NPPES CertifiedOctober 19, 2023

✔ NPI 1407940547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in TX · J0605✔ Licensed in MS · 26000

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

809 SINGLETON BLVD, Dallas, TX 75212

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Other Names 1

Professional Name (2)Dr. Jerri Kathleen Moore Md

Secondary Practice Locations 2

Location 11306 Doctors DriveTyler, TX 75701 · Phone (903) 592-1890 · Fax (903) 592-3222

Location 21100 Belk BlvdOxford, MS 38655-5242 · Phone (662) 636-1090 · Fax (662) 636-1676

Other Identifiers 1

OtherJ0605TX · Medical Lis

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Texas, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. J. Kathleen 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75212 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

Most-billed visit code 99214

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.

ALICIA MERCADO GARCIA

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