DR. ERIC MOORE PHD
NPI 1417805540
Counselor - Professional in Philadelphia, PA
About Dr. Eric Moore Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ERIC MOORE PHD (NPI 1417805540) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC020122) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Eric Moore Phd 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.
Medicare Billing Reassignment
Medicare enrollment records show Eric Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
King Of Prussia, PA 19406
- Reassigned Medicare billing, Pennsylvania enrollment
- 56 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Eric Moore's NPI number?
The NPI number for Eric Moore is 1417805540. It was assigned to this individual provider in the NPPES registry on March 16, 2026.
Where is Eric Moore located?
Eric Moore practices at 4064 Conshohocken Ave # A31, Philadelphia, PA 19131. The listed phone number is (248) 217-5743.
What is Eric Moore's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Eric Moore enrolled in Medicare?
Yes. Eric 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.
Which organization bills Medicare for Eric Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eric Moore reassigns Medicare benefits to Che Senior Care Therapy Services PC (King Of Prussia, PA). 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 Eric 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 Eric Moore was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Eric Moore, PHD · NPI 1417805540
Professional provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 16, 2026.
## Identity
- **NPI:** 1417805540 (Entity type: Individual)
- **Enumerated:** March 16, 2026
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PC020122 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4064 CONSHOHOCKEN AVE # A31, Philadelphia, PA 19131-2826
- **Phone:** (248) 217-5743
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Che Senior Care Therapy Services PC (NPI 1144666496, King Of Prussia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417805540) · Data from the CMS NPPES public registry.