David Moon, M.D.
NPI 1164866414 · Neurology with Special Qualifications in Child Neurology Physician · Grand Rapids, MI
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
David Moon, M.D. is a Neurology with Special Qualifications in Child Neurology Physician provider in Grand Rapids, MI (NPI 1164866414).
Provider details
- NPI number
- 1164866414
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 4301114519 (MI)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 4301114519 (MI)
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1105 Sixth StEkg ReadTraverse City, MI 49684Phone: (231) 935-6239Fax: (231) 935-7251
Registry dates
- Enumerated
- 2013-04-17
- Last updated
- 2021-02-18
- Certified
- 2021-02-18
Frequently asked questions
- What is David Moon's NPI number?
- David Moon's National Provider Identifier (NPI) is 1164866414, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is David Moon's specialty?
- David Moon is listed in the NPPES registry with a primary specialty of Neurology with Special Qualifications in Child Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is David Moon located?
- David Moon's practice location on file with NPPES is 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528.
- What is David Moon's phone number?
- The practice phone number listed in the NPPES registry for David Moon is (616) 267-2500.
- Does David Moon accept Medicare?
- David Moon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is David Moon's NPI active?
- Yes — David Moon's NPI (1164866414) is active in the NPPES registry as of the last update on 2021-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.