ALEXANDRA MOORE M.D.
NPI 1902268253
Surgery - Surgical Oncology in Vallejo, CA

Q: What is Alexandra Moore's NPI number?

The NPI number for Alexandra Moore is 1902268253. It was assigned to this individual provider in the NPPES registry on March 25, 2016.

Q: What is Alexandra Moore's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Q: When was this NPI record last updated?

The NPPES record for Alexandra Moore was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 25, 2016PECOS Enrolled

975 SERENO DR, VALLEJO, CA 94589(925) 708-8981 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 9, 2024, Oct 17, 2023, May 12, 2023 and 1 more (4 updates tracked since 2016).

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About Alexandra Moore M.d. NPPES

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

ALEXANDRA MOORE M.D. (NPI 1902268253) is an individual surgical oncology provider in Vallejo, California, licensed in California (A153908) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902268253

Entity TypeIndividualFemale

Primary Taxonomy2086X0206X

Provider Legal NameALEXANDRA MOORECredential: M.D.

Location Address975 SERENO DRVallejo, CA 94589-2441

Mailing Address26 Flagstone CtAlamo, CA 94507-1601 · (925) 708-8981

Phone(925) 708-8981

Sole ProprietorNo

Enumeration DateMarch 25, 2016

Last NPPES UpdateAugust 9, 20244 updates tracked since enumeration

NPPES CertifiedAugust 9, 2024

✔ NPI 1902268253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2086X0206X

Licenses✔ Licensed in CA · A153908✔ Licensed in TX · U3949

Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Also ListedSurgeryTaxonomy 208600000X · License U3949 (TX)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

975 SERENO DR, Vallejo, CA 94589

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Moore M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Alexandra Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

Same address

Internal Medicine

975 SERENO DRIVE
Vallejo, CA 94589

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1336222397 (707) 651-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94589 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

$191.95 typical visit price

range $65.02 – $191.95

Typical copayment $47.98 (range $16.25 – $47.98)

Most-billed visit code 99205

Established Patient

$80.24 typical visit price

range $21.86 – $157.69

Typical copayment $20.06 (range $5.46 – $39.42)

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.

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