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DR. KYLE ANTHONY MOORE M.D.
NPI 1568580322
Internal Medicine - Addiction Medicine in Richmond, CA

Active since March 27, 2007PECOS EnrolledAccepts Medicare Assignment
1313 CUTTING BLVD, RICHMOND, CA 94804(510) 232-0874(510) 232-8652 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kyle Anthony Moore M.d. NPPES

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

DR. KYLE ANTHONY MOORE M.D. (NPI 1568580322) is an individual addiction medicine provider in Richmond, California, licensed in California (CA 043351) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (1984).

NPPES Registry Identity

NPI1568580322
Entity TypeIndividualMale
Primary Taxonomy207RA0401X
Provider Legal NameDR. KYLE ANTHONY MOORECredential: M.D.
Location Address1313 CUTTING BLVDRichmond, CA 94804-2554
Mailing AddressPo Box 70072Richmond, CA 94807-0072 · (510) 375-0891 · Fax (510) 232-8652
Phone(510) 232-0874
Fax(510) 232-8652
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1984
Enumeration DateMarch 27, 2007
Last NPPES UpdateSeptember 6, 2023
✔ NPI 1568580322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License✔ Licensed in CA · CA 043351
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
1313 CUTTING BLVD, Richmond, CA 94804
Open in Google Maps ↗

Other Identifiers 1

Medicaid00433510CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kyle Anthony Moore M.d. 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.

PECOS PAC ID1759573405
PECOS Enrollment IDI20101013000296
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 94804 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

JENNA DONATELLI
Counselor (Addiction (Substance Use Disorder))
1313 CUTTING BLVD
RICHMOND, CA 94804
Contra Costa County (510) 232-0874
KRISTIN ALVAREZ
Counselor (Addiction (Substance Use Disorder))
1313 CUTTING BLVD
RICHMOND, CA 94804
Contra Costa County (510) 232-0874
MISS KATHRYN CHRISTINE BROWN
Counselor
1313 CUTTING BLVD
RICHMOND, CA 94804
Contra Costa County (510) 232-0874
HOOMAT KHADIVIAN
Counselor (Addiction (Substance Use Disorder))
1313 CUTTING BLVD
RICHMOND, CA 94804
Contra Costa County (510) 232-0874
MA PATRICIA RONQUILLO
Counselor (Addiction (Substance Use Disorder))
1313 CUTTING BLVD
RICHMOND, CA 94804
Contra Costa County (510) 232-0874
LAURI MARZOLINE
Counselor (Addiction (Substance Use Disorder))
1313 CUTTING BLVD
RICHMOND, CA 94804
Contra Costa County (510) 232-0874
PROF. ANDREA DENISE SANDERS
Licensed Vocational Nurse
1313 CUTTING BLVD
RICHMOND, CA 94804
Contra Costa County (510) 232-0874
SECUNDA WADLEY
Counselor (Addiction (Substance Use Disorder))
1313 CUTTING BLVD
RICHMOND, CA 94804
Contra Costa County (510) 232-0874

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 Kyle Moore's NPI number?

The NPI number for Kyle Moore is 1568580322. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Kyle Moore located?

Kyle Moore practices at 1313 Cutting Blvd, Richmond, CA 94804. The listed phone number is (510) 232-0874.

What is Kyle Moore's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Kyle Moore enrolled in Medicare?

Yes. Kyle 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.

When was this NPI record last updated?

The NPPES record for Kyle Moore was last updated on September 6, 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.