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KEITH LOUIS MOORE PA-C
NPI 1902190572
Physician Assistant in Christiansted, VI

Active since June 01, 2011PECOS Enrolled
4007 ESTATE DIAMOND RUBY, CHRISTIANSTED, VI 00820(340) 778-6311 Get Directions Write a Review

NPPES record last updated: June 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keith Louis Moore Pa-c NPPES

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

KEITH LOUIS MOORE PA-C (NPI 1902190572) is an individual physician assistant in Christiansted, Virgin Islands, licensed in Florida (PA3389) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902190572
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKEITH LOUIS MOORECredential: PA-C
Location Address4007 ESTATE DIAMOND RUBYChristiansted, VI 00820-4435
Mailing Address1374 Meadows BlvdWeston, FL 33327-1804 · (954) 288-7860
Phone(340) 778-6311
Sole ProprietorYes
Enumeration DateJune 1, 2011
✔ NPI 1902190572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA3389
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4007 ESTATE DIAMOND RUBY, Christiansted, VI 00820
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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)

Keith Louis Moore Pa-c 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 00820 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
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
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 20

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

ANGEL LAKE, MD
Internal Medicine
4007 ESTATE DIAMOND RUBY
CHRISTIANSTED, VI 00820
St. Croix Island (340) 332-3665
LINDSEY LEE KRANSON PA
Physician Assistant
4007 ESTATE DIAMOND RUBY
CHRISTIANSTED, VI 00820
St. Croix Island (340) 778-6311
JAMES KASIN MD
Pathology (Anatomic Pathology & Clinical Pathology)
4007 ESTATE DIAMOND RUBY
CHRISTIANSTED, VI 00820
St. Croix Island (340) 772-3466
ALANNA MORALES
Clinical Nurse Specialist (Emergency)
4007 ESTATE DIAMOND RUBY
CHRISTIANSTED, VI 00820
St. Croix Island (340) 778-6311
DELISHA SHAKYRA ARTHURTON-STOUTE
Registered Nurse
4007 ESTATE DIAMOND RUBY
CHRISTIANSTED, VI 00820
St. Croix Island (340) 778-6311
DR. D'MICHELLE P DUPRE MD
Pathology (Forensic Pathology)
4007 ESTATE DIAMOND RUBY, GOV. JUAN F. LUIS HOSPITAL
CHRISTIANSTED, VI 00820
St. Croix Island (340) 778-6311
JOHN SALO
Physician Assistant
4007 ESTATE DIAMOND RUBY
CHRISTIANSTED, VI 00820
St. Croix Island (340) 778-6311
JANE BRUNO CNM
Advanced Practice Midwife
4007 ESTATE DIAMOND RUBY
CHRISTIANSTED, VI 00820
St. Croix Island (340) 778-6311

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 Keith Moore's NPI number?

The NPI number for Keith Moore is 1902190572. It was assigned to this individual provider in the NPPES registry on June 1, 2011.

Where is Keith Moore located?

Keith Moore practices at 4007 Estate Diamond Ruby, Christiansted, VI 00820. The listed phone number is (340) 778-6311.

What is Keith Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Keith Moore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Keith Moore was last updated on June 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.