Kenneth Moon, M.D.
NPI 1972591345 · Family Medicine Physician · Hollywood, MD
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Moon, M.D. is a Family Medicine Physician provider in Hollywood, MD (NPI 1972591345).
Provider details
- NPI number
- 1972591345
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 32929 (DC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2005-10-11
- Last updated
- 2025-10-24
- Certified
- 2025-10-24
Frequently asked questions
- What is Kenneth Moon's NPI number?
- Kenneth Moon's National Provider Identifier (NPI) is 1972591345, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Moon's specialty?
- Kenneth Moon is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Moon located?
- Kenneth Moon's practice location on file with NPPES is 24435 Mervell Dean Rd, Hollywood, MD 20636-2712.
- What is Kenneth Moon's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Moon is (301) 373-2116.
- Does Kenneth Moon accept Medicare?
- Kenneth Moon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Moon's NPI active?
- Yes — Kenneth Moon's NPI (1972591345) is active in the NPPES registry as of the last update on 2025-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.