DR. KENNETH DAVID MOORE MD NPI 1184646473

NPI Information

  • NPI: 1184646473
  • Provider Name: DR. KENNETH DAVID MOORE, MD
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 805 SAINT VINCENTS DR STE 100
    BIRMINGHAM, AL
    ZIP 35205
  • Phone: (205) 939-3699

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NPI Details

DR. Kenneth David Moore, MD is an orthopaedic surgery in Birmingham, AL with 34 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. DR. Kenneth David Moore, MD NPI is 1184646473. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1991

The provider's business location address is:

805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL
ZIP 35205-638
Phone: (205) 939-3699
Fax: (205) 581-7155

The NPI 1184646473 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.

  • X-ray of knee, 3 views (HCPCS:73562)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Hip replacement (HCPCS:NAN09)
  • Knee replacement (HCPCS:NAN06)

The enumeration date for this NPI number is 7/24/2006 and was last updated on 10/18/2024.

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
1207X00000XOrthopaedic Surgery24165ALABAMAYes

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
1009966070MEDICAIDALABAMA
2051503535OTHERALABAMABLUE CROSS
3051503536OTHERALABAMABLUE CROSS
4051503535MEDICAIDALABAMA
5000025579MEDICAIDALABAMA
6051511207OTHERALABAMABLUE CROSS
7051529536OTHERALABAMABLUE CROSS
8000025579OTHERALABAMABLUE CROSS
9009931891MEDICAIDALABAMA

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: 3/30/2025

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