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DR. ILENE RUBOWITZ MOORE MD
NPI 1659331445
Pediatrics in Hopkins, MN

Active since March 24, 2006PECOS Enrolled
14001 RIDGEDALE DR STE 100, HOPKINS, MN 55305(952) 473-0211 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ilene Rubowitz Moore Md NPPES

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

DR. ILENE RUBOWITZ MOORE MD (NPI 1659331445) is an individual pediatrics provider in Hopkins, Minnesota, licensed in Minnesota (45291) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659331445
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. ILENE RUBOWITZ MOORECredential: MD
Location Address14001 RIDGEDALE DR STE 100Hopkins, MN 55305-1781
Mailing Address14001 Ridgedale DrMinnetonka, MN 55305-1753
Phone(952) 473-0211
Sole ProprietorNo
Enumeration DateMarch 24, 2006
Last NPPES UpdateJanuary 12, 2024
NPPES CertifiedJanuary 12, 2024
✔ NPI 1659331445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 45291
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.
14001 RIDGEDALE DR STE 100, Hopkins, MN 55305
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Other Identifiers 1

Medicaid913119100MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ilene Rubowitz Moore Md 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 55305 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BURTON ALLAN BENSON JR. MD
Pediatrics
14001 RIDGEDALE DR STE 100
MINNETONKA, MN 55305
Hennepin County (952) 473-0211
KIRSTEN DOUGHERTY CPNP-PC
Nurse Practitioner (Pediatrics)
14001 RIDGEDALE DR STE 100
MINNETONKA, MN 55305
Hennepin County (952) 473-0211
KAITLIN MAYO MSN, RN, CPNP-PC
Nurse Practitioner (Pediatrics)
14001 RIDGEDALE DR STE 100
MINNETONKA, MN 55305
Hennepin County (952) 259-3151
TERESA BEKKALA
Nurse Practitioner (Pediatrics)
14001 RIDGEDALE DR STE 100
MINNETONKA, MN 55305
Hennepin County (952) 473-0211
MADELINE ANASTASIA JANKE PA-C
Physician Assistant
14001 RIDGEDALE DR STE 100
MINNETONKA, MN 55305
Hennepin County (715) 828-1236
LAURA MARIE BRIXIUS
Physician Assistant
14001 RIDGEDALE DR STE 100
MINNETONKA, MN 55305
Hennepin County (952) 473-0211
SHANE MCWHIRTER MD
Pediatrics
14001 RIDGEDALE DR STE 100
MINNETONKA, MN 55305
Hennepin County (952) 473-0211

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 Ilene Moore's NPI number?

The NPI number for Ilene Moore is 1659331445. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Ilene Moore located?

Ilene Moore practices at 14001 Ridgedale Dr Ste 100, Hopkins, MN 55305. The listed phone number is (952) 473-0211.

What is Ilene Moore's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ilene Moore enrolled in Medicare?

Yes. Ilene Moore is registered in the Medicare PECOS enrollment system.

What insurance does Ilene Moore accept?

Health plans from HealthPartners and Medica list Ilene Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ilene Moore was last updated on January 12, 2024. 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.