MARY MOORE MD
NPI 1770674640
Radiology - Pediatric Radiology in Little Rock, AR
About Mary Moore Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY MOORE MD (NPI 1770674640) is an individual pediatric radiology provider in Little Rock, Arkansas, licensed in Arkansas (E-2215) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (1992).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Moore Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
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.
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
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 Mary Moore's NPI number?
The NPI number for Mary Moore is 1770674640. It was assigned to this individual provider in the NPPES registry on September 27, 2006.
Where is Mary Moore located?
Mary Moore practices at 4301 W Markham St # 783, Little Rock, AR 72205. The listed phone number is (501) 686-8000.
What is Mary Moore's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.
Is Mary Moore enrolled in Medicare?
Yes. Mary Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Mary Moore accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Mary 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 Mary Moore was last updated on July 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mary Moore, MD · NPI 1770674640
Pediatric Radiology physician in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since September 27, 2006.
## Identity
- **NPI:** 1770674640 (Entity type: Individual)
- **Enumerated:** September 27, 2006
- **Primary specialty:** Radiology - Pediatric Radiology · taxonomy 2085P0229X
- **State license:** E-2215 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4301 W MARKHAM ST # 783, Little Rock, AR 72205-7101
- **Phone:** (501) 686-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Creighton University School Of Medicine, class of 1992
## Record status
- **NPPES last updated:** July 31, 2007
- **Other identifiers:** Medicare UPIN G59635; Medicare PIN 5L166
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Source: [NPI Profile](https://npiprofile.com/npi/1770674640) · Data from the CMS NPPES public registry.