Individual provider Active NPI

Robert Lionel Moesinger, MD

  • Otolaryngology Physician
  • Ogden, UT
National Provider Identifier
1154319473
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
151175-1205 Issued in UT
Practice address
3955 Harrison Blvd
Ste U6
Ogden, UT 84403-2399
Phone
(801) 393-5324
Fax
(801) 393-7780
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 151175-1205 UT Primary

Addresses

Primary practice location

3955 Harrison Blvd
Ste U6
Ogden, UT 84403-2399

Mailing address

3955 Harrison Blvd
Ste U6
Ogden, UT 84403-2399
Phone (801) 393-5324

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150901001734 UT Order and Referring Only - OtolaryngologyPractitioner - Otolaryngology 2769431733

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154319473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 HARRISON BLVD",
            "address_2": "STE U6",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032399",
            "telephone_number": "801-393-5324",
            "fax_number": "801-393-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 HARRISON BLVD",
            "address_2": "STE U6",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032399",
            "telephone_number": "801-393-5324",
            "fax_number": "801-393-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOESINGER",
        "first_name": "ROBERT",
        "middle_name": "LIONEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "UT",
            "license": "151175-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.