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KELLIE MOORE
NPI 1437544079
Pediatrics in Albuquerque, NM

Active since March 31, 2015PECOS Enrolled
MSC10 5590 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-3120 Get Directions Write a Review

NPPES record last updated: June 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1437544079
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKELLIE MOORE
Location AddressMSC10 5590 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing Address933 Bradbury Dr Se, Suite 2222Albuquerque, NM 87106-4374 · (505) 272-3120 · Fax (505) 272-8060
Phone(505) 272-3120
Sole ProprietorNo
Enumeration DateMarch 31, 2015
Last NPPES UpdateJune 20, 2015
✔ NPI 1437544079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NM · RS2015-0351
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
MSC10 5590 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellie Moore 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 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.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

PAULINA VICTORIA MAJEWSKA MD
Student in an Organized Health Care Education/Training Program
MSC10 5590 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2345
BUTHEINA GHWEIR MD
Student in an Organized Health Care Education/Training Program
MSC10 5590 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2345
DANIELLA ALEXANDRA MARTIN DO
Student in an Organized Health Care Education/Training Program
MSC10 5590 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2345
LAURA ASHTON PORTER
Pediatrics
MSC10 5590 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2375
MI THUY HONG DO
Student in an Organized Health Care Education/Training Program
MSC10 5590 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2345
ARATI BARTAULA MD
Student in an Organized Health Care Education/Training Program
MSC10 5590 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2345
ZACHARY ERNST
Student in an Organized Health Care Education/Training Program
MSC10 5590 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2345
AIDA BILALI KA MD
Student in an Organized Health Care Education/Training Program
MSC10 5590 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2345

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.

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.