Individual provider Active NPI

Michael Curtis Moore, MD

  • Anesthesiology Physician
  • Colorado Springs, CO
National Provider Identifier
1235169889
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
21782 Issued in CO
Practice address
2920 N Cascade Ave
FL 3
Colorado Springs, CO 80907-6262
Phone
(719) 495-6372
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 21782 CO Primary

Addresses

Primary practice location

2920 N Cascade Ave
FL 3
Colorado Springs, CO 80907-6262

Mailing address

2920 N Cascade Ave
FL 3
Colorado Springs, CO 80907-6262
Phone (719) 495-6372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20050809000814 CO Practitioner - Anesthesiology 1355370453 Reassigns benefits to 1 organization
Practice locations: Colorado Springs, CO

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21782COMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Gastroenterology Associates CurrentSince Mar 1, 2020 Accepting new patients
Clinical Colleagues Inc Anesthesiology Past Accepting new patients
Michael C Moore M.D. P. C. PastSince Jan 1, 1990 Accepting new patients

Locations

2920 N Cascade Ave
Ste 301
Colorado Springs, CO 80907
Phone (719) 659-0275

2920 N Cascade Ave
Fl Third
Colorado Springs, CO 80907

2920 N Cascade Ave
Fl 3
Colorado Springs, CO 80907
Phone (719) 495-6372

2920 N Cascade Ave
#P
Colorado Springs, CO 80907

2920 N Cascade Ave
Ste 300
Colorado Springs, CO 80907

1615 Medical Center Pt
Colorado Springs, CO 80907
Phone (719) 635-7740

Organizations & group practices 3

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1235169889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE",
            "address_2": "FL 3",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076262",
            "telephone_number": "719-495-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE",
            "address_2": "FL 3",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076262",
            "telephone_number": "719-495-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MICHAEL",
        "middle_name": "CURTIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "21782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.