Kelly L Moore, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

40114 Issued in CO

Practice address

4500 E 9TH Ave
Suite 470
Denver, CO 80220-3912

Phone

(303) 320-8499

Fax

(303) 320-8620

NPI assigned

Oct 13, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

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

Specialty

Obstetrics/Gynecology

Education

Ohio State University College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Healthone Clinic Services - Obstetrics and Gynecology LLCGroup PAC ID 4587759972, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Healthone Rose Hospital, Denver, CO, CCN 060032

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Healthone Clinic Services - Obstetrics and Gynecology LLC

  • Obstetrics & Gynecology Physician
  • Aurora, CO
  • NPI 1831397215
  Medicare reassignment Care Compare group NPD
• HCA Healthone LLC

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1023062098
  NPD (past)

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

• HCA Healthone LLC

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1023062098
  Care Compare affiliation

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1366430241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST",
            "address_2": "SUITE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "303-320-8499",
            "fax_number": "303-320-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E 9TH AVE",
            "address_2": "SUITE 470",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203912",
            "telephone_number": "303-320-8499",
            "fax_number": "303-320-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KELLY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "40114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201073340A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00820041",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KELLY.MOORE@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4500 E 9th Ave",
            "address_2": "SUITE 470",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802203912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Moore
• John B Moore, MD
• John T Moore, MD
• Julia Camille Moore
• Kelly Moore, MT, C-IAYT, CIYT
• Kennan Moore, LCSW
• Lauren Moore, MS, RD
• Lauren K Moore
• Lindsey Jean Moore, APRN
• Lisa C Moore

• Obstetrics & Gynecology Physician in Denver, CO
• Providers in Denver, CO by specialty
• Obstetrics & Gynecology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.