Provider Type Icon

DR. CHARLES K. MOORE MD NPI 1699795641


NPI Information

NPI: 1699795641
Provider Name: DR. CHARLES K. MOORE, MD
Classification: Internal Medicine - 207RA0001X
Entity Type: Individual

Specialization: Advanced Heart Failure and Transplant Cardiology

PECOS Registration: Yes

Address:
2500 NORTH STATE STREET
DEPARTMENT OF MEDICINE/DIVISION OF CARDIOLOGY
JACKSON, MS
ZIP 39216
Phone: (601) 984-5630
Get Directions

DR. Charles K. Moore, MD is an advanced heart failure and transplant cardiology internal medicine in Jackson, MS with 40 years of experience. The provider is specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. DR. Charles K. Moore, MD NPI is 1699795641. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1984

The provider's business location address is:

2500 NORTH STATE STREET
DEPARTMENT OF MEDICINE/DIVISION OF CARDIOLOGY
JACKSON, MS
ZIP 39216-500
Phone: (601) 984-5630

The NPI 1699795641 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.

  • Insertion of catheter for diagnostic evaluation of right heart structures (HCPCS:93451)
  • Evaluation of lower heart chamber assist device with physician analysis (HCPCS:93750)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)

The enumeration date for this NPI number is 7/20/2006 and was last updated on 6/6/2017.


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
1207RA0001XInternal MedicineAdvanced Heart Failure and Transplant Cardiology13284MISSISSIPPIYes
2207RC0000XInternal MedicineCardiovascular Disease13284MISSISSIPPINo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E49631MEDICARE UPINMISSISSIPPI
21687821MEDICAIDLOUISIANA
330206I7214MEDICARE PINMISSISSIPPI
4RR 060036949OTHERMISSISSIPPIRAILROAD
5P00618863OTHERMISSISSIPPIRAILROAD MEDICARE
6110000551MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPI
7512I110047MEDICARE PINMISSISSIPPI
800110493MEDICAIDMISSISSIPPI

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.