Doctor profile · Federal record
Dr. Ilene Moore, MD
Pediatrics Physician · Hopkins, MN
- NPI 1659331445
- 20 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
14001 Ridgedale Dr Ste 100
Hopkins, MN 553051781
(952) 473-0211 - Mailing address
-
14001 Ridgedale Dr
Minnetonka, MN 553051753
Credentials & registration
- NPI registered
- March 2006 — 20 yrs on file
- Profile last updated
- January 12, 2024
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- Minnesota #45291
- Medicaid
- MN #913119100
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1659331445. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$25
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Seqirus USA INC | 1 | $24.89 |
By nature of payment
Frequently asked questions
What is Dr. Ilene Moore's medical specialty?
Dr. Ilene Moore practices Pediatrics Physician in Hopkins, MN.
Where does Dr. Ilene Moore practice?
Dr. Ilene Moore practices at 14001 Ridgedale Dr Ste 100, Hopkins, MN 553051781. Office phone: 9524730211.
What is Dr. Ilene Moore's NPI?
Dr. Ilene Moore's National Provider Identifier (NPI) is 1659331445, issued by NPPES.