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

Kenneth Adam Moore, MD

Individual provider Neurological Surgery Physician · NPI 1013304054

Kenneth Adam Moore, MD is a Neurosurgery in Indianapolis, Indiana. Qualified in 2015, 11 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Tennessee.

Years since qualifying
11
Licensed in
IN, TN
In the registry since
2015
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

355 W 16th St Ste 5100
Indianapolis, IN 46202-2274
Phone: (317) 963-1300
Fax: (317) 222-2012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6325 Humphreys Blvd, Memphis, TN 38120-2300 — (901) 522-7700

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 01090436A (IN)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 65489 (TN)

Record details

NPI number1013304054
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 16, 2015
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023
Mailing address250 N Shadeland Ave, Indianapolis, IN 46219-4959

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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