DR. KASIMU SENGHOR MOODY (M.D.) – Family Medicine Physician, NPI 1245275536

DR. KASIMU SENGHOR MOODY (M.D.) is a healthcare provider. based in Centerville, Iowa. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 14802R (LA). The NPI Number for DR. KASIMU SENGHOR MOODY (M.D.) is 1245275536

Main info

Male
28 Years Of Experience
Name
DR. KASIMU SENGHOR MOODY (M.D.)
NPI
1245275536
Phone
(641) 437-4111
Address
1 Saint Joseph Dr
Enumeration Date
19 June 2006
Last Update Date
22 December 2025

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
3185594023
Graduation Year
1998 (28 years ago)
PAC ID
2466359971
Group Practice PAC ID
1153216619
Professional Enrollment ID
I20031215000059
Address ID
LA712542140LA336XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Digital endpointsOther names

483 EMERGENCY MEDICINE in IA

Provider Addresses for DR. KASIMU SENGHOR MOODY (M.D.)

  • 1 Saint Joseph Dr

    Centerville, IA 525449017

    Phone: (641) 437-4111

    Type: Location

  • 111, Gateway Drive, Lafayette, Lafayette Parish, Louisiana, 70506, United States

    LAFAYETTE, LA 705067689

    Phone: (337) 273-2588

    Type: Mailing

  • 73153 MILITARY RD

    COVINGTON, LA 704356054

    Phone: (985) 626-6133

    Fax: (985) 626-6136

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2003-12-15

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
I20031215000059IEmergency MedicineLATBD

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
99283Emergency department visit with low level of medical decision making4038$0
99284Emergency department visit with moderate level of medical decision making2824$0
View full utilization report →

Insurance plans in this area (ZIP 52544)

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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: 1153216619View full group profile
NameSpecialtyState
Mental Health CounselorLA
Internal MedicineLA
Emergency MedicineLA
Emergency MedicineLA
Family PracticeWY
Pediatric Medicine, Emergency MedicineLA
Family PracticeLA
Nurse PractitionerLA
Nurse PractitionerLA
Nurse PractitionerLA

Reviews

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Frequently asked questions

How is DR. KASIMU SENGHOR MOODY (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. KASIMU SENGHOR MOODY (M.D.) with NPI 1245275536.
Can I rely on DR. KASIMU SENGHOR MOODY (M.D.) being an active provider?
As of the registry snapshot, DR. KASIMU SENGHOR MOODY (M.D.) is marked active.
What is DR. KASIMU SENGHOR MOODY (M.D.)'s primary classification?
Family Medicine Physician is the headline specialty for DR. KASIMU SENGHOR MOODY (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. KASIMU SENGHOR MOODY (M.D.) on a map?
Expect Centerville, Iowa as a primary anchor for DR. KASIMU SENGHOR MOODY (M.D.) unless the record lists multiple sites.
Is the information about DR. KASIMU SENGHOR MOODY (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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