Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew E Moore, MD

Individual provider Diagnostic Radiology Physician · NPI 1144842378

Andrew E Moore, MD is a Diagnostic Radiology in Merriam, Kansas. Qualified in 2020, 6 years ago. Licensed in Kansas and Wisconsin.

Years since qualifying
6
Licensed in
KS, WI
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5113 Perry Ln
Merriam, KS 66203-4827
Phone: (505) 360-1424
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 04-53107 (KS)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 85340 (WI)

Record details

NPI number1144842378
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 11, 2020
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address5113 Perry Ln, Merriam, KS 66203-4827

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare