Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Riley Austin Moore, PA-C

Individual provider Physician Assistant · NPI 1730713033

Riley Austin Moore, PA-C is a Physician Assistant in Lees Summit, Missouri. Qualified in 2019, 7 years ago. Practices with Signature Medical Group of Kc PA, a 27-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
7
Licensed in
KS, MO
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4880 NE Goodview Cir
Lees Summit, MO 64064-1996
Phone: (816) 478-4200
Fax: (816) 875-2598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2020006739 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 15-02694 (KS)

Record details

NPI number1730713033
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 25, 2020
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Signature Medical Group Of Kc Pa — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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