DR. KENDALL IVAN MOORE (M.D.) – Emergency Medicine Physician, NPI 1508253881
Emergency Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,051 EMERGENCY MEDICINE in TX
Provider Addresses for DR. KENDALL IVAN MOORE (M.D.)
7616 BRANFORD PL STE 220
SUGAR LAND, TX 774793794
Phone: (346) 493-9329
Type: Location
16100 South Fwy
Pearland, TX 775841895
Phone: (713) 413-6500
Type: Location
111 E 210th St
Bronx, NY 104672401
Phone: (718) 920-4321
Type: Location
111 E 210TH ST
BRONX, NY 104672401
Phone: (718) 920-4321
Type: Mailing
1104 THOMPSON ST
HOUSTON, TX 770075634
Phone: (708) 768-6263
Type: Mailing
16100 SOUTH FWY
PEARLAND, TX 775841895
Phone: (713) 413-6500
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: 2025-06-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 9 Medicare enrollment records; no due dates published yet.
Enrollment records
9
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190710000353 | I | Emergency Medicine | IN | TBD |
| I20210405001920 | I | Emergency Medicine | TX | TBD |
| I20250310002309 | I | Emergency Medicine | AL | TBD |
| I20250311003778 | I | Emergency Medicine | FL | TBD |
| I20250312002320 | I | Emergency Medicine | OK | TBD |
| I20250312003350 | I | Emergency Medicine | GA | TBD |
| I20250313002603 | I | Emergency Medicine | TN | TBD |
| I20250318002651 | I | Emergency Medicine | LA | TBD |
| I20250607000176 | I | Emergency Medicine | AR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 159 | 158 | $0 |
| 99291 | Critical care, first 30-74 minutes | 116 | 115 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 112 | 109 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 111 | 111 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 11 | 11 | $0 |
Insurance plans in this area (ZIP 77479)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Psychiatry, Nurse Practitioner | SC | |
| Nurse Practitioner | ME | |
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | WY | |
| Hospitalist, Internal Medicine | LA | |
| Nurse Practitioner | NJ | |
| Family Practice | FL |
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