Shane Moore DPM PC
NPI 1710470950ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Peoria, AZ
Podiatrist, Foot & Ankle Surgery in Peoria, Arizona, registered in NPPES in June 2018. The authorized official on file is Steven Shane Moore, DPM, Owner. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1710470950 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 12, 2018 |
| Last updated in NPPES | Jun 20, 2025 |
| Certified by provider | Jun 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Foot & Ankle Surgery Primary | 213ES0103X | 0802 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (AZ); Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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