NPIMap

Individual provider Active NPI

Nathaniel J Moore, MD

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1275570301
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35543 Issued in CO
Practice address
895 S Logan St
Denver, CO 80209
Phone
(303) 733-3764
Fax
(303) 733-0868
NPI assigned
May 31, 2006
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 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 35543 CO Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X 35543 CO

Addresses

Primary practice location

895 S Logan St
Denver, CO 80209

Mailing address

15101 E Iliff Ave Ste 140
Aurora, CO 80014-4548
Phone (720) 878-7055

Other identifiers 1

IdentifierTypeStateIssuer
01355437MedicaidCO

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
I20040119000285 CO Practitioner - Family PracticePractitioner - Addiction Medicine 8426959818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Duke University School of Medicine, 1995
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mednow Clinics, IncGroup PAC ID 0042533242, 56 clinicians

Practice addresses (Care Compare)

15101 E Iliff Ave
Suite 140
Aurora, CO 80014-4548
Phone (720) 878-7055

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35543COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mednow Clinics Co Springs Co, Inc Family Medicine Current Accepting new patients
Addiction Recovery Centers, LLC Addiction Medicine Current Accepting new patients
Mednow Clinics, Inc Past Accepting new patients
Mednow Clinics, Inc Family Medicine Past Accepting new patients
Mednow Clinics, Inc. Addiction Medicine Past Accepting new patients
Greenwood Village Family Medicine PC Family Medicine Past Accepting new patients
Lola Sober Living LLC Past Accepting new patients
Mednow Clinics, Inc Family Medicine Past Accepting new patients
Colorado Springs Recovery LLC Past Accepting new patients
Mednow Clinics, Inc Addiction Medicine Past Accepting new patients

Locations

2960 N Circle Dr
Ste 200
Colorado Springs, CO 80909
Phone (719) 387-7900

15101 E Iliff Ave
Ste 140
Denver, CO 80014
Phone (303) 584-7850

Interoperability endpoints

  • Direct secure messaging: nathaniel.moore.1@14209.direct.athenahealth.com

Organizations & group practices 23

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

View all 23

Hospital & facility affiliations 11

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1275570301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15101 E ILIFF AVE STE 140",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144548",
            "telephone_number": "720-878-7055",
            "fax_number": "720-390-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 S LOGAN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80209",
            "telephone_number": "303-733-3764",
            "fax_number": "303-733-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "NATHANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "35543",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CO",
            "license": "35543",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01355437",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.