Jonathan Moore
NPI 1215433248ActiveIndividual· Student in an Organized Health Care Education/Training Program· Little Rock, AR
Student in an Organized Health Care Education/Training Program in Little Rock, Arkansas, trained at University of South Alabama College of Medicine (class of 2018). Medicare paid $57,309 for services to 1,373 patients in 2024.
Overview
| NPI | 1215433248 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 30, 2018 |
| Last updated in NPPES | Mar 30, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (AL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,373 |
|---|---|
| Services billed | 1,896 across 105 procedure codes |
| Paid by Medicare | $57,309 |
Education and affiliations
| Medical school | University of South Alabama College of Medicine |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Montgomery Radiology Associates PAMontgomery, AL · 39 clinicians
- Alabama Imaging PCOpelika, AL · 29 clinicians
- Selma Radiology Associates P CSelma, AL · 29 clinicians
Hospital affiliations
- Baptist Medical Center EastMontgomery, AL
- Baptist Medical Center SouthMontgomery, AL
- Eamc - LanierValley, AL
- The East Alabama Healthcare AuthorityOpelika, AL
- Vaughan Regional Medical Center Parkway CampusSelma, AL
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All Student in an Organized Health Care Education/Training Program providers in Arkansas →