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

Nicholas Moore, MD

Individual provider Family Medicine Physician · NPI 1073875928

Nicholas Moore, MD is a Family Practice in Saint Charles, Missouri. Graduated from Saint Louis University School of Medicine in 2012, 14 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
14
Trained at
Saint Louis University School of Medicine
Licensed in
MO
In the registry since
2012
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

1475 Kisker Rd Ste 200
Saint Charles, MO 63304-8788
Phone: (636) 498-5810
Show map & directions

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

Additional practice locations (1)

  • 615 South New Ballas, St. Louis, MO 63141 — (314) 251-8950

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2012017826 (MO)

Record details

NPI number1073875928
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 15, 2012
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020
Mailing addressPo Box 955534, Saint Louis, MO 63195-5534

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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