Jay Caesar Moreland, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

263407-1205 Issued in UT

Practice address

220 W 7200 S Ste a
72ND Street Clinic, CHC Inc
Midvale, UT 84047-1043

Phone

(801) 566-5494

Fax

(801) 561-9647

NPI assigned

Dec 22, 2005

Last updated

Dec 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Southern California Keck School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Centers IncGroup PAC ID 5991698169, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aspen Ridge Hospice Hospice, Murray, UT, CCN 461621
• Pine View Transitional Rehab Nursing home, South Ogden, UT, CCN 465155

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ACFCAA
• Direct secure messaging: jay.moreland@chcsl.eclinicaldirectplus.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Ahc Home Health Care of Murray, LLC

  dba Aspen Ridge Home Health & Hospice

  • Home Health Agency
  • Murray, UT
  • NPI 1184778607

  Contracted Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • West Valley City, UT
  • NPI 1952505117

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Community Health Centers, Inc.

  dba 72nd Street Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Midvale, UT
  • NPI 1073611364

  Family Medicine

  NPD
• Community Health Centers, Inc.

  dba Oquirrh View Medical & Dental Clinic

  • Federally Qualified Health Center (FQHC)
  • Taylorsville, UT
  • NPI 1801992953

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahc Home Health Care of Murray, LLC

  dba Aspen Ridge Home Health & Hospice

  • Home Health Agency
  • Murray, UT
  • NPI 1184778607

  Hospice

  Care Compare affiliation
• Ahc Ogden LLC

  dba Pine View Transitional Rehab

  • Skilled Nursing Facility
  • South Ogden, UT
  • NPI 1700822707

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322956800000",
    "number": "1023095866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W 7200 S STE A",
            "address_2": "72ND STREET CLINIC, CHC INC",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471043",
            "telephone_number": "801-566-5494",
            "fax_number": "801-561-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W 7200 S STE A",
            "address_2": "72ND STREET CLINIC, CHC INC",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471043",
            "telephone_number": "801-566-5494",
            "fax_number": "801-561-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELAND",
        "first_name": "JAY",
        "middle_name": "CAESAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2011-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "263407-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G06469",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molina Healthcare of Utah Inc
• Leah Rae Molina
• Brooke Monson, PHARMD
• Katherine Montou, R.N.
• Season Moore
• Jaimee A Morgan, DOS
• Melanie Morgan, MPT
• Erin Mortensen
• Mountain View Diabetes Care
• Mountain View Physical Therapy and Rehabilitation, PLLC

• Family Medicine Physician in Midvale, UT
• Providers in Midvale, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.