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

Dr. Henry R Moore III, MD

Individual provider Surgery Physician · NPI 1932392099

Dr. Henry R Moore III, MD is a Critical Care (Intensivists) in Urbana, Illinois. Qualified in 2002, 24 years ago. Practices with Carle Health Care Incorporated, a 1,543-clinician group and accepts Medicare assignment. Licensed in District of Columbia and Illinois.

Years since qualifying
24
Licensed in
DC, IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

611 W Park St
Urbana, IL 61801-2529
Phone: (217) 383-3240
Fax: (217) 383-4597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036119986 (IL)
Surgery Physician Taxonomy 208600000X · Licence MD036123 (DC)

Record details

NPI number1932392099
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 22, 2007
Last updated in NPPESMarch 31, 2022
Certification dateMarch 22, 2022

Medicare enrollment

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

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesGENERAL SURGERY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Carle Health Care Incorporated — 1543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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