Angela R Moore, MD
Radiology, Diagnostic Radiology in Lexington, KY. Individual provider (NPI-1).
NPI number1790727741
StatusActive
Last updated in NPPESDec 4, 2020
Details
- NPI
- 1790727741
- Entity type
- Individual (NPI-1)
- Name
- Angela R Moore
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2006
- Certification date
- Dec 4, 2020
- Last updated
- Dec 4, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 31216 | KY | Yes |
Practice location
1760 Nicholasville RdSuite 401
Lexington, KY 40503-1471
Phone 859-260-6537
Mailing address
4071 Tates Creek Centre DrSuite 202
Lexington, KY 40517-3062
Phone 859-260-4385 · Fax 859-260-4386
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