BLAKE WALTER MOORE MD NPI 1992903769

NPI Information

  • NPI: 1992903769
  • Provider Name: BLAKE WALTER MOORE, MD
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9101 STONY POINT DR.
    RICHMOND, VA
    ZIP 23235
  • Phone: (804) 330-9105

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NPI Details

Blake Walter Moore, MD is an urology in Richmond, VA with 19 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. Blake Walter Moore, MD NPI is 1992903769. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VIRGINIA COMMONWEALTH UNIV SCHOOL OF DENTISTRY
Graduation Year:2007

The provider's business location address is:

9101 STONY POINT DR.
RICHMOND, VA
ZIP 23235
Phone: (804) 330-9105
Fax: (804) 287-6119

The NPI 1992903769 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.

  • Injection, testosterone undecanoate, 1 mg (HCPCS:J3145)
  • Injection, testosterone cypionate, 1 mg (HCPCS:J1071)
  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • Bcg live intravesical instillation, 1 mg (HCPCS:J9030)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Manual urinalysis test with examination using microscope, non-automated (HCPCS:81000)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Urinalysis, manual test (HCPCS:81002)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Leuprolide acetate (for depot suspension), 7.5 mg (HCPCS:J9217)
  • Testosterone (hormone) level, total (HCPCS:84403)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Simple insertion of temporary bladder tube (HCPCS:51702)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS:96402)
  • Simple bladder irrigation and/or instillation (HCPCS:51700)
  • Instillation of anti-cancer drug into bladder (HCPCS:51720)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Partial removal of kidney using an endoscope (HCPCS:50543)
  • Injection procedure for imaging of bladder during voiding (HCPCS:51600)
  • Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
  • Review by radiologist of urinary bladder and urethra images with contrast and after passing urine (HCPCS:74455)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Surgical removal of prostate and surrounding lymph nodes using an endoscope (HCPCS:55866)
  • Other procedure on male genital system (HCPCS:55899)
  • Prostate resection (HCPCS:NAN14)

The enumeration date for this NPI number is 7/3/2007 and was last updated on 10/28/2020.

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
1208800000XUrology0101256077VIRGINIAYes

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
11992903769OTHERVIRGINIAHEALTH NET FEDERAL SERVICES
21992903769OTHERVIRGINIAHUMANA CHOICE CARE
35604405OTHERVIRGINIACIGNA
41992903769OTHERVIRGINIAVA HEALTH NETWORK
51992903769OTHERVIRGINIAOPTIMA
67505953OTHERVIRGINIAAETNA
71992903769OTHERVIRGINIAVA PREMIER
81992903769OTHERVIRGINIASOUTHERN HEALTHCARE/COVENTRY
91992903769OTHERVIRGINIAANTHEM BCBS VA
101992903769MEDICAIDVIRGINIA

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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