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NICHOLAS JAY MOORE M.D. NPI 1265727556


NPI Information

NPI: 1265727556
Provider Name: NICHOLAS JAY MOORE, M.D.
Classification: Family Medicine - 207QS0010X
Entity Type: Individual

Specialization: Sports Medicine

PECOS Registration: Yes

Address:
26850 PROVIDENCE PKWY STE 260
NOVI, MI
ZIP 48374
Phone: (248) 465-5140
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Nicholas Jay Moore, M.D. is a sports medicine family medicine in Novi, MI with 13 years of experience. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Nicholas Jay Moore, M.D. NPI is 1265727556. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF WISCONSIN
Graduation Year:2011

The provider's business location address is:

26850 PROVIDENCE PKWY STE 260
NOVI, MI
ZIP 48374-256
Phone: (248) 465-5140
Fax: (248) 465-5141

The NPI 1265727556 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance (HCPCS:20611)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)

The enumeration date for this NPI number is 6/14/2011 and was last updated on 4/16/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine4301108292MICHIGANNo
2207QS0010XFamily MedicineSports Medicine4301108292MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.