Individual provider Active NPI

Peter Kenneth Moskowitz, M.D.

  • Pediatrics Physician
  • Cottonwood Heights, UT
National Provider Identifier
1144229931
Registry record updated Nov 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
3471031205 Issued in UT
Practice address
6360 S 3000 E
Ste 230
Cottonwood Heights, UT 84121-6923
Phone
(801) 523-3030
Fax
(801) 523-3033
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 3471031205 UT Primary

Addresses

Primary practice location

6360 S 3000 E
Ste 230
Cottonwood Heights, UT 84121-6923

Mailing address

7929 S Forest Oaks CT
Cottonwood Heights, UT 84121-5737
Phone (801) 274-0317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3471031205UTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Pediatrics, P.C. Pediatrics Past Accepting new patients
Id Consults PLLC PastSince Oct 4, 2010 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448496000000",
    "number": "1144229931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7929 S FOREST OAKS CT",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841215737",
            "telephone_number": "801-274-0317",
            "fax_number": "801-210-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 S 3000 E",
            "address_2": "STE 230",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841216923",
            "telephone_number": "801-523-3030",
            "fax_number": "801-523-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKOWITZ",
        "first_name": "PETER",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2015-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "3471031205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood Heights, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.