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

Richard Anthony Moore, MD

Individual provider Internal Medicine Physician · NPI 1124055447

Richard Anthony Moore, MD is an Internal Medicine in Providence, Rhode Island. Qualified in 1989, 37 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
37
Licensed in
RI
In the registry since
2006
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

148 W River St Ste 22B
Providence, RI 02904-2628
Phone: (401) 572-3887
Fax: (401) 865-6192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD20015 (RI)

Record details

NPI number1124055447
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 26, 2006
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025
Mailing address148 W River St Ste 22b, Providence, RI 02904-2628

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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