DR. JOHN ALEXANDER MOORE (D.O.) – Emergency Medicine Physician, NPI 1770849150

DR. JOHN ALEXANDER MOORE (D.O.) is a healthcare provider. based in Livonia, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 5101019879 (MI). The NPI Number for DR. JOHN ALEXANDER MOORE (D.O.) is 1770849150

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN ALEXANDER MOORE (D.O.)
NPI
1770849150
Phone
(425) 478-5160
Address
36475 FIVE MILE RD
Enumeration Date
10 April 2012
Last Update Date
1 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5172795400
Graduation Year
2012 (14 years ago)
PAC ID
4183916166
Group Practice PAC ID
3870493588
Professional Enrollment ID
I20160712001977
Address ID
MI490362041CO274XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

Provider Addresses for DR. JOHN ALEXANDER MOORE (D.O.)

  • 36475 FIVE MILE RD

    ATTN:GME DEPARTMENT

    LIVONIA, MI 481541971

    Phone: (425) 478-5160

    Type: Mailing

  • 736 REEF DR

    CANTON, MI 481870106

    Phone: (425) 478-5160

    Type: Mailing

  • 36475 Five Mile Rd

    ATTN:GME DEPARTMENT

    Livonia, MI 481541971

    Phone: (425) 478-5160

    Type: Location

  • 274 E CHICAGO ST

    COLDWATER, MI 490362041

    Phone: (517) 279-5400

    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: 2016-07-12

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
I20160712001977IEmergency MedicineMITBD

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
99285Emergency department visit with high level of medical decision making137128$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only122113$0
99284Emergency department visit with moderate level of medical decision making5252$0
99291Critical care, first 30-74 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 48154)

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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: 3870493588View full group profile
NameSpecialtyState
Emergency MedicineMI
-PA
Physician AssistantMI
Emergency MedicineMI
Emergency MedicineMI
Nurse PractitionerMI
-MI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI

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Frequently asked questions

What is DR. JOHN ALEXANDER MOORE (D.O.)'s NPI number?
DR. JOHN ALEXANDER MOORE (D.O.)'s NPI is 1770849150 — the number used across U.S. healthcare to identify this provider.
Is DR. JOHN ALEXANDER MOORE (D.O.) shown as active in public data?
Registry records indicate DR. JOHN ALEXANDER MOORE (D.O.) maintains an active NPI.
What area of care is associated with DR. JOHN ALEXANDER MOORE (D.O.)?
DR. JOHN ALEXANDER MOORE (D.O.)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. JOHN ALEXANDER MOORE (D.O.) located near Livonia?
DR. JOHN ALEXANDER MOORE (D.O.) currently maps to Livonia, Michigan in this extract.
Can I trust this NPI listing for DR. JOHN ALEXANDER MOORE (D.O.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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