SOOYENG MOORE – Certified Registered Nurse Anesthetist, NPI 1043443112

SOOYENG MOORE is a healthcare provider. based in Allentown, Pennsylvania. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. RN678216 (PA). The NPI Number for SOOYENG MOORE is 1043443112

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
SOOYENG MOORE
NPI
1043443112
Phone
(610) 402-8000
Address
1200 S Cedar Crest Blvd
Enumeration Date
24 August 2009
Last Update Date
21 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6109545810
Graduation Year
2009 (17 years ago)
PAC ID
7618017682
Group Practice PAC ID
1355254533
Professional Enrollment ID
I20160909000344
Address ID
PA180151065BE801XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:16State licenses:2Digital endpointsOther names

4,264 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in PA

Provider Addresses for SOOYENG MOORE

  • 1200 S Cedar Crest Blvd

    Allentown, PA 181036202

    Phone: (610) 402-8000

    Type: Location

  • Memorial Sloan Kettering Cancer Center, 1275, York Avenue, Lenox Hill, Manhattan Community Board 8, Manhattan, New York County, New York, 10065, United States

    NEW YORK, NY 10021

    Phone:

    Type: Mailing

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: 2016-09-09

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20091223000188ICertified Registered Nurse Anesthetist (Crna)NYTBD
I20160909000344ICertified Registered Nurse Anesthetist (Crna)PATBD

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
00142Anesthesia for lens surgery9691$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1919$0
00811Anesthesia for other procedure on large bowel using an endoscope1414$0
00520Anesthesia for other closed procedure on chest1111$0
01922Anesthesia for x-ray or radiation therapy1111$0
View full utilization report →

Insurance plans in this area (ZIP 18103)

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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: 1355254533View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)PA
A N E S T H E S I O L O G YPA
A N E S T H E S I O L O G YPA
A N E S T H E S I O L O G YPA
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)PA

Reviews

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Frequently asked questions

Where can patients find SOOYENG MOORE's NPI?
You can confirm SOOYENG MOORE with NPI 1043443112; it appears in the national provider directory.
Is SOOYENG MOORE active in the national directory?
SOOYENG MOORE's public NPI profile is in an active state.
What kind of provider is SOOYENG MOORE?
The page reflects Certified Registered Nurse Anesthetist for SOOYENG MOORE. Clinical services aligned with this taxonomy classification.
What location metadata exists for SOOYENG MOORE?
The page summarizes Allentown, Pennsylvania for SOOYENG MOORE; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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