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DR. KELAN A MOORE M.D.
NPI 1912986589
Anesthesiology in Kenosha, WI

Active since January 12, 2006PECOS EnrolledAccepts Medicare Assignment
10400 75TH ST, KENOSHA, WI 53142(414) 358-5443 Get Directions Write a Review

NPPES record last updated: January 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kelan A Moore M.d. NPPES

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

DR. KELAN A MOORE M.D. (NPI 1912986589) is an individual anesthesiology provider in Kenosha, Wisconsin, licensed in Wisconsin (42736-020) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center Kenosha, and maintains a secondary practice location in Racine.

NPPES Registry Identity

NPI1912986589
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. KELAN A MOORECredential: M.D.
Location Address10400 75TH STKenosha, WI 53142-7884
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(414) 358-5443
Sole ProprietorYes
Medical School CMSMichigan State University College Of Human MedicineGraduated 1991
Enumeration DateJanuary 12, 2006
Last NPPES UpdateJanuary 26, 2025
NPPES CertifiedJanuary 26, 2025
✔ NPI 1912986589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in WI · 42736-020
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
10400 75TH ST, Kenosha, WI 53142
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Secondary Practice Location 1

Location 13801 Spring StRacine, WI 53405-1667 · Phone (262) 687-4011

Other Identifiers 1

Medicaid34047900WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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

Dr. Kelan A Moore M.d. 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.

PECOS PAC ID2961493192
PECOS Enrollment IDI20100319000484
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

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.

DR. UZMA REZVI M. D.
Anesthesiology
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-5600
DAVID B KITE PA
Physician Assistant
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-7000
MRS. SUSAN H. PERGANDE WHNP
Nurse Practitioner (Women's Health)
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-6714
DAVID ERIC FARKAS MD
Emergency Medicine
10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142
Kenosha County (262) 697-7000
PAULA MICHELLE OSGOOD CRNA
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-5600
DOROTHY KATHERINE FREE
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-5600
ZEBI FATIMA MD
Internal Medicine
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 942-5600
JENNIFER J JOHNSON RN
Registered Nurse (Critical Care Medicine)
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-5730

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 Kelan Moore's NPI number?

The NPI number for Kelan Moore is 1912986589. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Where is Kelan Moore located?

Kelan Moore practices at 10400 75th St, Kenosha, WI 53142. The listed phone number is (414) 358-5443.

What is Kelan Moore's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Kelan Moore enrolled in Medicare?

Yes. Kelan 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 Kelan Moore accept?

Health plans from CareSource (Common Ground Healthcare) list Kelan 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.

Is Kelan Moore affiliated with any hospitals?

According to CMS data, Kelan Moore is affiliated with Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Kelan Moore was last updated on January 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.