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

Dr. Scott Richard Moore, DO

Individual provider Infectious Disease Physician · NPI 1619356961

Dr. Scott Richard Moore, DO is a Critical Care (Intensivists) in Park Ridge, Illinois. Graduated from Michigan State University College of Osteopathic Medicine in 2015, 11 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois, Michigan and New Jersey.

Years since qualifying
11
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
IL, MI, NJ
In the registry since
2015
Specialties on file
3
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 →

Practice location Address checks out

1775 Dempster St
Park Ridge, IL 60068-1143
Phone: (708) 283-5500
Fax: (847) 723-0118
Show map & directions

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

Additional practice locations (2)

  • 1 Cooper Plz, Camden, NJ 08103-1461 — (800) 826-6737
  • 240 Meeting House Ln, Southampton, NY 11968-5009 — (631) 726-8200

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 5151015314 (MI)
Infectious Disease Physician Taxonomy 207RI0200X · Licence NA (NJ)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 036.171872 (IL)

Record details

NPI number1619356961
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 20, 2015
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024
Mailing address29373 Network Pl, Chicago, IL 60673-1293

Medicare enrollment

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

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2015 (11 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount