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

Individual provider Nephrology Physician · NPI 1861479834

Richard Moore Jr. is a Nephrology in St Louis Park, Minnesota. Graduated from Columbia University College of Physicians and Surgeons in 1990, 36 years ago. Practices with Hutchinson Health, a 143-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
36
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
MN
In the registry since
2005
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Practice location Address checks out

3931 Louisiana Ave S Ste W300
St Louis Park, MN 55426-4375
Phone: (952) 993-3265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 34906 (MN)

Record details

NPI number1861479834
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 29, 2005
Last updated in NPPESMarch 5, 2012

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 1990 (36 years in practice)
Group practice Hutchinson Health — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations19 on file with Medicare

Other providers in St Louis Park