NPIMap

Individual provider Active NPI

Justin Suk Joo Moon, M.D, M.P.H.

  • Neurology Physician
  • Denver, CO
National Provider Identifier
1215019609
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
DR.0046584 Issued in CO
Practice address
950 E Harvard Ave Ste 570
Denver, CO 80210
Phone
(303) 715-9024
Fax
(303) 715-5020
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X DR.0046584 CO Primary

Addresses

Primary practice location

950 E Harvard Ave Ste 570
Denver, CO 80210

Mailing address

950 E Harvard Ave Ste 570
Denver, CO 80210-7003
Phone (303) 715-9024

Other practice location 1

200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other identifiers 1

IdentifierTypeStateIssuer
71524011MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080715000586 CO Practitioner - Neurology 1153422365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Arizona College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

10470 S Progress Way
Parker, CO 80134-4037
Phone (303) 617-4700

950 E Harvard Ave
Suite 570
Denver, CO 80210-7003
Phone (303) 715-9024

Hospital & facility affiliations

  • HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034
  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113
  • AdventHealth Porter Hospital, Denver, CO, CCN 060064

Merit-based Incentive Payment System (MIPS)

Final score
85.58 of 100Reported as individual
Quality
73.77
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Neurological Clinic Professional LLC Current Accepting new patients
Denver Neurological Clinic Professional LLC CurrentSince Jun 1, 2008 Accepting new patients

Locations

950 E Harvard Ave
Ste 570
Denver, CO 80210
Phone (303) 715-9024

9980 Park Meadows Dr
Ste 100
Lone Tree, CO 80124
Phone (303) 715-9024

Interoperability endpoints

  • Direct secure messaging: justin.moon.1@25434.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25434/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1215019609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E HARVARD AVE STE 570",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802107003",
            "telephone_number": "303-715-9024",
            "fax_number": "303-715-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E HARVARD AVE STE 570",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80210",
            "telephone_number": "303-715-9024",
            "fax_number": "303-715-5020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559050001",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "JUSTIN",
        "middle_name": "SUK JOO",
        "name_prefix": "Dr.",
        "credential": "M.D, M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "DR.0046584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71524011",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.