DR. SATHEAVY MOORE (MD) – Diagnostic Radiology Physician, NPI 1215148952

DR. SATHEAVY MOORE (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 2010007591 (MO). The NPI Number for DR. SATHEAVY MOORE (MD) is 1215148952

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. SATHEAVY MOORE (MD)
NPI
1215148952
Phone
(314) 991-8200
Address
11475 OLDE CABIN RD
Enumeration Date
24 May 2007
Last Update Date
25 May 2016

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Secondary Phone
6362316252
Graduation Year
2005 (21 years ago)
PAC ID
5193854933
Group Practice PAC ID
8527966944
Professional Enrollment ID
I20100603000559
Address ID
MO630904700WA901XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:19State licenses:4Digital endpointsOther names

1,218 DIAGNOSTIC RADIOLOGY in MO

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Provider Addresses for DR. SATHEAVY MOORE (MD)

  • 11475, Olde Cabin Road, Creve Coeur Executive Office Park, Creve Coeur, Saint Louis County, Missouri, 63141, United States

    SUITE 200

    SAINT LOUIS, MO 631417128

    Phone: (314) 991-8200

    Fax: (314) 569-1787

    Type: Mailing

  • 901, Patients First Drive, Downtown Washington, Washington, Franklin County, Missouri, 63090, United States

    DEPT OF RADIOLOGY

    WASHINGTON, MO 630904700

    Phone: (636) 390-1575

    Fax: (636) 390-9710

    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: 2010-06-03

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
I20100603000559IDiagnostic RadiologyMOTBD

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
77067Screening mammography867867$0
77063Screening 3d breast mammography864864$0
71045X-ray of chest, 1 view207189$0
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)155141$0
77065Diagnostic mammography of 1 breast10885$0
View full utilization report →

Insurance plans in this area (ZIP 63141)

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Provider's Procedures

DR. SATHEAVY MOORE (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMO73562X-ray of knee, 3 views1414
DIAGNOSTIC RADIOLOGYMO73630X-ray of foot, minimum of 3 views2222

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: 8527966944View full group profile
NameSpecialtyState
Diagnostic RadiologyMO
Diagnostic RadiologyMO
Radiation OncologyMO
Diagnostic RadiologyMO
Diagnostic RadiologyIL
Radiation OncologyMO
-MO
Nurse PractitionerMO
Diagnostic RadiologyMO
Interventional Radiology, Diagnostic RadiologyMO

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Frequently asked questions

What is the registry number for DR. SATHEAVY MOORE (MD)?
The registry entry for DR. SATHEAVY MOORE (MD) shows NPI 1215148952.
Does the public listing show DR. SATHEAVY MOORE (MD) as active?
DR. SATHEAVY MOORE (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. SATHEAVY MOORE (MD)?
NPPES ties DR. SATHEAVY MOORE (MD) to Diagnostic Radiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. SATHEAVY MOORE (MD) tied to Saint Louis, Missouri?
If you are local to Saint Louis, Missouri, DR. SATHEAVY MOORE (MD) may be relevant to your search.
Why is information missing for DR. SATHEAVY MOORE (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.