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MYLES MOORE MD
NPI 1669273611
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since March 24, 2025PECOS Enrolled
2880 N TENAYA WAY FL 2, LAS VEGAS, NV 89128(702) 962-9610 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Myles Moore Md NPPES

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

MYLES MOORE MD (NPI 1669273611) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669273611
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMYLES MOORECredential: MD
Location Address2880 N TENAYA WAY FL 2Las Vegas, NV 89128-0618
Mailing Address2880 N Tenaya Way Fl 2Las Vegas, NV 89128-0618 · (702) 962-9610
Phone(702) 962-9610
Sole ProprietorYes
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
✔ NPI 1669273611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2880 N TENAYA WAY FL 2, Las Vegas, NV 89128
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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)

Myles 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.

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.

NICHOLAS JAMES MASON
Student in an Organized Health Care Education/Training Program
2880 N TENAYA WAY FL 2
LAS VEGAS, NV 89128
Clark County (702) 962-9546
ALLYSON RAYNE PARKER
Student in an Organized Health Care Education/Training Program
2880 N TENAYA WAY FL 2
LAS VEGAS, NV 89128
Clark County (702) 962-9546
SUJATA PANTA MD
Student in an Organized Health Care Education/Training Program
2880 N TENAYA WAY FL 2
LAS VEGAS, NV 89128
Clark County (702) 962-5000
CHRISTOPHER ABOUJAOUDE MD
Student in an Organized Health Care Education/Training Program
2880 N TENAYA WAY FL 2
LAS VEGAS, NV 89128
Clark County (725) 278-5188
BRIAN SAN LIN
Student in an Organized Health Care Education/Training Program
2880 N TENAYA WAY FL 2
LAS VEGAS, NV 89128
Clark County (702) 962-9549
MUHAMMAD DAUD ABDULLAH
Student in an Organized Health Care Education/Training Program
2880 N TENAYA WAY FL 2
LAS VEGAS, NV 89128
Clark County (725) 278-5188
DR. GEORGE ALEXANDER TELLEZ MD
Student in an Organized Health Care Education/Training Program
2880 N TENAYA WAY FL 2
LAS VEGAS, NV 89128
Clark County (702) 962-9549
DR. ANDY CHOI MD
Student in an Organized Health Care Education/Training Program
2880 N TENAYA WAY FL 2
LAS VEGAS, NV 89128
Clark County (725) 278-5188

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 Myles Moore's NPI number?

The NPI number for Myles Moore is 1669273611. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Myles Moore located?

Myles Moore practices at 2880 N Tenaya Way Fl 2, Las Vegas, NV 89128. The listed phone number is (702) 962-9610.

What is Myles Moore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Myles Moore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Myles Moore was last updated on March 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.