IndividualActive
Sam Moore, D.O.
NPI 1972516797 · Family Medicine Physician · Champaign, IL
Sam Moore, D.O. is a Family Medicine Physician provider in Champaign, IL (NPI 1972516797).
Provider details
- NPI number
- 1972516797
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 036075380 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
1701 W. Curtis
Champaign, IL 61822-9678
Phone: (217) 365-6203
Fax: (217) 383-4752
Street-level locationGet directions
Mailing address
602 W University Ave
Urbana, IL 61801-2530
Registry dates
- Enumerated
- 2006-08-14
- Last updated
- 2013-12-11
Frequently asked questions
- What is Sam Moore's NPI number?
- Sam Moore's National Provider Identifier (NPI) is 1972516797, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sam Moore's specialty?
- Sam Moore is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sam Moore located?
- Sam Moore's practice location on file with NPPES is 1701 W. Curtis, Champaign, IL 61822-9678.
- What is Sam Moore's phone number?
- The practice phone number listed in the NPPES registry for Sam Moore is (217) 365-6203.
- Is Sam Moore's NPI active?
- Yes — Sam Moore's NPI (1972516797) is active in the NPPES registry as of the last update on 2013-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.