DR. PHILIP A MOORE (M.D.) – Internal Medicine Physician, NPI 1104877414

DR. PHILIP A MOORE (M.D.) is a healthcare provider. based in Aurora, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036088408 (IL). The NPI Number for DR. PHILIP A MOORE (M.D.) is 1104877414

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHILIP A MOORE (M.D.)
NPI
1104877414
Phone
(630) 499-2404
Address
2000 OGDEN AVE
Enumeration Date
12 May 2006
Last Update Date
16 April 2024

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
6306925563
Graduation Year
1990 (36 years ago)
PAC ID
2264468024
Group Practice PAC ID
7618864877
Professional Enrollment ID
I20050713000077
Address ID
IL605045898AU2020XAVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

Provider Addresses for DR. PHILIP A MOORE (M.D.)

  • 2000 OGDEN AVE

    AURORA, IL 605045893

    Phone: (630) 499-2404

    Fax: (630) 499-4750

    Type: Mailing

  • 1551 Bond St

    Suite 127

    Naperville, IL 605630137

    Phone: (630) 428-8750

    Fax: (630) 428-8537

    Type: Location

  • 2020 OGDEN AVE STE 400

    AURORA, IL 605045898

    Phone: (630) 692-5563

    Fax: (630) 692-5564

    Type: Location

  • 1551, Bond Street, Naperville, DuPage County, Illinois, 60563, United States

    SUITE 127

    NAPERVILLE, IL 605630137

    Phone: (630) 428-8750

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2023-09-05 • Largest payer in this snapshot: Lundbeck LLC ($33).

Total Amount

$33

General + Research + Ownership

Payments

1

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lundbeck LLC$33
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-07-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050713000077IInternal MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,00592$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes993197$0
99214Established patient office or other outpatient visit, 30-39 minutes717371$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes355258$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit338338$0
View full utilization report →

Insurance plans in this area (ZIP 60504)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618864877View full group profile
NameSpecialtyState
Internal MedicineIL
O B S T E T R I C S/ G Y N E C O L O G YMI
General SurgeryIL
Internal MedicineIL
Emergency MedicineIL
Nurse PractitionerIL
Internal MedicineIL
-IL
Family PracticeIL
-IL

Reviews

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Frequently asked questions

Is there an official ID for DR. PHILIP A MOORE (M.D.) in U.S. healthcare records?
The official identifier for DR. PHILIP A MOORE (M.D.) is NPI 1104877414.
Is DR. PHILIP A MOORE (M.D.) still an active registrant?
DR. PHILIP A MOORE (M.D.) carries an active NPI according to the public dataset.
What area of care is associated with DR. PHILIP A MOORE (M.D.)?
DR. PHILIP A MOORE (M.D.)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. PHILIP A MOORE (M.D.)?
Directory geography for DR. PHILIP A MOORE (M.D.) centers on Aurora, Illinois.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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