Individual provider Active NPI

Sheldon Moon

  • Family Medicine Physician
  • Hurricane, UT
National Provider Identifier
1215221817
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9097346 Issued in UT
Practice address
75 N 2260 W
Hurricane, UT 84737-2034
Phone
(435) 635-6500
NPI assigned
Jun 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R9080 IA
Family Medicine Physician 207Q00000X 9097346 UT Primary

Addresses

Primary practice location

75 N 2260 W
Hurricane, UT 84737-2034

Mailing address

PO Box 2205
Cedar Rapids, IA 52406-2205

Other practice location 1

1201 3rd Ave SE
Cedar Rapids, IA 52403-4009
Phone (319) 730-7300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sheldon.moon@direct.imail.org

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
I20141002001152 UT Practitioner - Family Practice 7810136538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University Central del Caribe Escuela de Medicina, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

75 N 2260
Hurricane, UT 84737-2034
Phone (435) 635-6550

Hospital & facility affiliations

  • Intermountain Health Home Health - St. George Home health agency, St George, UT, CCN 467033
  • Desert Haven Hospice, LLC Hospice, Washington, UT, CCN 461640
  • St. George Regional Hospital Hospital, St George, UT, CCN 460021

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R9080IAMDFamily Medicine Physician
9097346UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Family Medicine CurrentSince Oct 1, 2014 Accepting new patients
Ihc Health Services, Inc. CurrentSince Oct 1, 2014 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Eastern Iowa Health Center Past Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

75 N 2260 W
Hurricane, UT 84737
Phone (435) 635-6400

2947 E 1450 S
St George, UT 84790
Phone (435) 251-2630

Organizations & group practices 5

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 3

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": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1215221817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2205",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524062205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 N 2260 W",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847372034",
            "telephone_number": "435-635-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 3rd Ave SE",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524034009",
            "country_code": "US",
            "telephone_number": "319-730-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "SHELDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-01",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R9080",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "9097346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sheldon.moon@direct.imail.org",
            "affiliation": "N",
            "address_1": "75 N 2260 W",
            "city": "Hurricane",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847372034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hurricane, UT

Sources for this page

Verify at the official NPI Registry.