DR. RODERICK ALAN MOORE DPM NPI 1104978238

NPI Information

  • NPI: 1104978238
  • Provider Name: DR. RODERICK ALAN MOORE, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • Address: 17000 140TH AVE NE
    UNIT 201
    WOODINVILLE, WA
    ZIP 98072
  • Phone: (425) 481-7055

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NPI Details

DR. Roderick Alan Moore, DPM is a foot and ankle surgery podiatrist in Woodinville, WA. DR. Roderick Alan Moore, DPM NPI is 1104978238. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17000 140TH AVE NE
UNIT 201
WOODINVILLE, WA
ZIP 98072-928
Phone: (425) 481-7055

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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • X-ray of foot, 2 views (HCPCS:73620)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 1/17/2007 and was last updated on 8/12/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryPO00000305WASHINGTONYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10487040001MEDICARE NSCWASHINGTON
21018365MEDICAIDWASHINGTON
3T03035MEDICARE UPINWASHINGTON

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: 11/21/2025

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