MORIAH JEAN MOORE DO
NPI 1972247716
Internal Medicine in Detroit, MI

Q: What is Moriah Moore's NPI number?

The NPI number for Moriah Moore is 1972247716. It was assigned to this individual provider in the NPPES registry on April 27, 2022.

Q: What is Moriah Moore's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Moriah Moore was last updated on May 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 27, 2022PECOS Enrolled

4201 SAINT ANTOINE ST # 5C, DETROIT, MI 48201(313) 577-4342 Get Directions Write a Review

NPPES record last updated: May 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 2, 2026, Apr 27, 2022 (2 updates tracked since 2022).

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About Moriah Jean Moore Do NPPES

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

MORIAH JEAN MOORE DO (NPI 1972247716) is an individual internal medicine provider in Detroit, Michigan, licensed in Michigan (5101029377) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lake Orion.

NPPES Registry Identity

NPI1972247716

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMORIAH JEAN MOORECredential: DO

Location Address4201 SAINT ANTOINE ST # 5CDetroit, MI 48201-2153

Mailing Address1375 S Lapeer Rd Ste 210Lake Orion, MI 48360-1421 · (248) 693-5700

Phone(313) 577-4342

Sole ProprietorNo

Enumeration DateApril 27, 2022

Last NPPES UpdateMay 2, 20262 updates tracked since enumeration

NPPES CertifiedMay 2, 2026

✔ NPI 1972247716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 5101029377

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 5101029377 (MI)

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

4201 SAINT ANTOINE ST # 5C, Detroit, MI 48201

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Secondary Practice Location 1

Location 11375 S Lapeer Rd Ste 210Lake Orion, MI 48360-1421 · Phone (248) 693-5700

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moriah Jean Moore Do 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 48201 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

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 10

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

ALEXIS CROCKETT

Student in an Organized Health Care Education/Training Program