SUSANNA DOROTHY MOORE
NPI 1578097556
Family Medicine in Bronx, NY
About Susanna Dorothy Moore NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSANNA DOROTHY MOORE (NPI 1578097556) is an individual family medicine provider in Bronx, New York, licensed in New York (303653-01) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Elmhurst Hospital Center, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Susanna Dorothy Moore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Elmhurst Hospital Center
Acute Care Hospitals · Elmhurst, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10467 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
BRONX, NY 10467
BRONX, NY 10467
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 Susanna Moore's NPI number?
The NPI number for Susanna Moore is 1578097556. It was assigned to this individual provider in the NPPES registry on April 17, 2017.
Where is Susanna Moore located?
Susanna Moore practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-4678.
What is Susanna Moore's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Susanna Moore enrolled in Medicare?
Yes. Susanna Moore is registered in the Medicare PECOS enrollment system.
Is Susanna Moore affiliated with any hospitals?
According to CMS data, Susanna Moore is affiliated with Elmhurst Hospital Center.
When was this NPI record last updated?
The NPPES record for Susanna Moore was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Susanna Dorothy Moore · NPI 1578097556
Family Medicine physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since April 17, 2017.
## Identity
- **NPI:** 1578097556 (Entity type: Individual)
- **Enumerated:** April 17, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 303653-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 E 210TH ST, Bronx, NY 10467-2401
- **Phone:** (718) 920-4678
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1578097556) · Data from the CMS NPPES public registry.