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

Dr. Nicholas Vencenzo Moore, DO

Individual provider Internal Medicine Physician · NPI 1104492529

Dr. Nicholas Vencenzo Moore, DO is an Internal Medicine in Wyandotte, Michigan. Qualified in 2021, 5 years ago. Practices with Hospitalist Physicians Medical Group of Michigan, PC, an 18-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone: (734) 246-6000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 5101028264 (MI)

Record details

NPI number1104492529
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 27, 2021
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing address2923 Sparta Dr, Troy, MI 48083-6406

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Hospitalist Physicians Medical Group Of Michigan, Pc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wyandotte