KELLIE MOORE
NPI 1437544079
Pediatrics in Albuquerque, NM
About Kellie Moore NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIE MOORE (NPI 1437544079) is an individual pediatrics provider in Albuquerque, New Mexico, licensed in New Mexico (RS2015-0351) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kellie Moore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Kellie Moore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 723 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 5,645 clinicians in this Medicare group
San Francisco, CA 94122
- Reassigned Medicare billing, California enrollment
- 5,544 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87131 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ALBUQUERQUE, NM 87131
ALBUQUERQUE, NM 87131
ALBUQUERQUE, NM 87131
ALBUQUERQUE, NM 87131
ALBUQUERQUE, NM 87131
ALBUQUERQUE, NM 87131
ALBUQUERQUE, NM 87131
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 Kellie Moore's NPI number?
The NPI number for Kellie Moore is 1437544079. It was assigned to this individual provider in the NPPES registry on March 31, 2015.
Where is Kellie Moore located?
Kellie Moore practices at Msc10 5590 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-3120.
What is Kellie Moore's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kellie Moore enrolled in Medicare?
Yes. Kellie Moore is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kellie Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Moore reassigns Medicare benefits to 3 organizations: University Anesthesia Medical Group (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). 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 Kellie 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 Kellie Moore was last updated on June 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Kellie Moore · NPI 1437544079
Pediatrics physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since March 31, 2015.
## Identity
- **NPI:** 1437544079 (Entity type: Individual)
- **Enumerated:** March 31, 2015
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** RS2015-0351 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** MSC10 5590 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131-0001
- **Phone:** (505) 272-3120
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Anesthesia Medical Group (NPI 1528137296, San Francisco, CA); University Of California San Francisco (NPI 1346329380, San Francisco, CA); Ucsf Medical Group Business Services (NPI 1477624104, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 20, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1437544079) · Data from the CMS NPPES public registry.