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REBECCA MOORE MD
NPI 1689104283
Pediatrics - Pediatric Cardiology in Philadelphia, PA

Active since June 15, 2017PECOS Enrolled
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC CARDIOLOGY, PHILADELPHIA, PA 19104(215) 327-2667 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2021, Jun 15, 2017 (2 updates tracked since 2017).

About Rebecca Moore Md NPPES

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

REBECCA MOORE MD (NPI 1689104283) is an individual pediatric cardiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT222536) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689104283
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameREBECCA MOORECredential: MD
Location Address3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC CARDIOLOGYPhiladelphia, PA 19104
Mailing Address3401 Civic Center Blvd, Division Of Pediatric CardiologyPhiladelphia, PA 19104 · (215) 327-2667
Phone(215) 327-2667
Sole ProprietorYes
Enumeration DateJune 15, 2017
Last NPPES UpdateJuly 13, 20212 updates tracked since enumeration
NPPES CertifiedJuly 13, 2021
✔ NPI 1689104283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in PA · MT222536
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedInternal MedicineTaxonomy 207R00000X · License LP03975 (RI)
Also ListedPediatricsTaxonomy 208000000X · License LP03975 (RI)
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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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)

Rebecca 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.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Rebecca Moore's NPI number?

The NPI number for Rebecca Moore is 1689104283. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Where is Rebecca Moore located?

Rebecca Moore practices at 3401 Civic Center Blvd Division Of Pediatric Cardiology, Philadelphia, PA 19104. The listed phone number is (215) 327-2667.

What is Rebecca Moore's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Rebecca Moore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Rebecca Moore was last updated on July 13, 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.