DR. SATHEAVY MOORE MD NPI 1215148952

NPI Information

  • NPI: 1215148952
  • Provider Name: DR. SATHEAVY MOORE, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 901 PATIENTS FIRST DR
    DEPT OF RADIOLOGY
    WASHINGTON, MO
    ZIP 63090
  • Phone: (636) 390-1575

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NPI Details

DR. Satheavy Moore, MD is a diagnostic radiology radiology in Washington, MO with 20 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Satheavy Moore, MD NPI is 1215148952. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year:2005

The provider's business location address is:

901 PATIENTS FIRST DR
DEPT OF RADIOLOGY
WASHINGTON, MO
ZIP 63090-700
Phone: (636) 390-1575
Fax: (636) 390-9710

The NPI 1215148952 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.

  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of hip, 1 view (HCPCS:73501)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment (HCPCS:77085)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • X-ray of surgical specimen (HCPCS:76098)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)

The enumeration date for this NPI number is 5/24/2007 and was last updated on 5/25/2016.

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
12085R0202XRadiologyDiagnostic Radiology036128244ILLINOISNo
22085R0202XRadiologyDiagnostic RadiologyMD201166LOUISIANANo
32085R0202XRadiologyDiagnostic RadiologyE8090ARKANSASNo
42085R0202XRadiologyDiagnostic Radiology2010007591MISSOURIYes

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
1102880014MEDICARE PINMISSOURI
2107690017MEDICARE PINMISSOURI
31215148952MEDICAIDMISSOURI

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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