MOORE DERMATOLOGY SC
NPI 1659552875
Dermatology in Melrose Park, IL
About Moore Dermatology Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOORE DERMATOLOGY SC (NPI 1659552875) is a healthcare organization registered as a dermatology in Melrose Park, Illinois and active in the NPI registry since November 2007. The organization holds a CLIA Certificate of Compliance certificate valid through March 23, 2028 and lists Julie A Moore, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Moore Dermatology Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Moore Dermatology Sc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 14D0699271
Moore Dermatology · Melrose Park, ILFrequently 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 Moore Dermatology Sc's NPI number?
The NPI number for Moore Dermatology Sc is 1659552875. It was assigned to this organization in the NPPES registry on November 15, 2007.
Where is Moore Dermatology Sc located?
Moore Dermatology Sc is located at 501 W North Ave Ste 103, Melrose Park, IL 60160. The listed phone number is (708) 450-5086.
What is Moore Dermatology Sc's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Moore Dermatology Sc enrolled in Medicare?
Yes. Moore Dermatology Sc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Moore Dermatology Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Moore Dermatology Sc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Moore Dermatology Sc hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 14D0699271) is associated with this NPI, valid through March 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Moore Dermatology Sc was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.