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MICHAEL MOOREVILLE M.D. NPI 1619989696


NPI Information

NPI: 1619989696
Provider Name: MICHAEL MOOREVILLE, M.D.
Classification: Urology - 208800000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 39D0196598

Address:
272 N LANSDOWNE AVE
LANSDOWNE, PA
ZIP 19050
Phone: (610) 259-3434
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Michael Mooreville, M.D. is an urology in Lansdowne, PA with 46 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Michael Mooreville, M.D. NPI is 1619989696. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1978

The provider's business location address is:

272 N LANSDOWNE AVE
LANSDOWNE, PA
ZIP 19050-143
Phone: (610) 259-3434
Fax: (610) 259-3480

The NPI 1619989696 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 CLIA number assigned to this NPI record is 39D0196598 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

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.

  • Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope (HCPCS:52000)

The enumeration date for this NPI number is 8/11/2006 and was last updated on 12/2/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyMD022478EPENNSYLVANIAYes

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
10009582890001MEDICAIDPENNSYLVANIA
24612083OTHERNEW JERSEYAETNA
3B40496MEDICARE UPINPENNSYLVANIA
44612083OTHERPENNSYLVANIAAETNA
5165760MEDICARE PINPENNSYLVANIA
60031118000OTHERPENNSYLVANIAIBC
7486641MEDICARE PINNEW JERSEY

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.