Active NPI
Daniel Kyeongtaek Moon, MD
- Orthopaedic Foot and Ankle Surgery Physician
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- DR.0057156
- Practice address
- 1635 Aurora CT
Aurora, CO 80045-2541 - Phone
- (720) 848-1900
- NPI assigned
- Jun 17, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 261980 | MA | |
| Orthopaedic Surgery Physician | 207X00000X | 2010023564 | MO | |
| Orthopaedic Surgery Physician | 207X00000X | DR.0057156 | CO | |
| Orthopaedic Surgery Physician | 207X00000X | 2010019173 | MO | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | DR.0057156 | CO | Primary |
Addresses
Primary practice location
1635 Aurora CT
Aurora, CO 80045-2541
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Other practice location 1
1925 Mountain View Ave
Longmont, CO 80501-3128
Phone (720) 494-3132
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Columbia University College of Physicians and Surgeons, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12605 E 16TH Ave
Uchealth Anschutz Medical Campus
Aurora, CO 80045-2545
Phone (720) 848-0000
13123 E 16TH Ave
Aurora, CO 80045-7106
Phone (720) 777-1234
1500 Park Central Dr
Highlands Ranch, CO 80129-6688
Phone (720) 516-1100
Hospital & facility affiliations
- University of Colorado Hospital Authority
- Longs Peak Hospital
- Uchealth Broomfield Hospital
- Boulder Community Health
- Poudre Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0057156 | CO | MD | Orthopaedic Surgery Physician |
| 261980 | MA | MD | Orthopaedic Surgery Physician |
| 2010019173 | MO | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians, Incorporated | Orthopaedic Surgery | Current | Accepting new patients |
| University Physicians Incorporated | Orthopaedic Surgery | Current | Accepting new patients |
| University Physicians, Incorporated | Past | Accepting new patients |
Locations
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
1635 Aurora Ct
Fl 4
Aurora, CO 80045
Phone (720) 848-2000
1635 Aurora Ct
Aurora, CO 80045
Phone (720) 848-1060
2150 Stadium Dr
Boulder, CO 80309
Phone (303) 315-9900
2150 Stadium Dr
Fl 2
Boulder, CO 80309
Phone (303) 315-9900
11820 Destination Dr
Broomfield, CO 80021
Phone (303) 460-6000
875 W 136th Ave
Broomfield, CO 80023
Phone (303) 457-7700
2000 S Colorado Blvd
Bldg 1-4500
Denver, CO 80222
Phone (720) 848-8200
3055 Roslyn St
Unit 200
Denver, CO 80238
Phone (303) 350-7632
Dept 1061
Denver, CO 80256
1551 Professional Ln
Unit 200
Longmont, CO 80501
Phone (720) 718-8288
1925 Mountain View Ave
Longmont, CO 80501
Phone (303) 776-1234
1750 E Ken Pratt Blvd
Ste 3
Longmont, CO 80504
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.
-
- Internal Medicine Physician
- Aurora, CO
- NPI 1962461889
Orthopaedic Surgery
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1275045049
-
- Clinical Medical Laboratory
- Aurora, CO
- NPI 1396793899
Hospital & facility affiliations 78
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Boulder, CO
- NPI 1093357907
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1376864942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 AURORA CT",
"city": "AURORA",
"state": "CO",
"postal_code": "800452541",
"telephone_number": "720-848-1900"
}
],
"practiceLocations": [
{
"address_1": "1925 Mountain View Ave",
"address_purpose": "LOCATION",
"city": "Longmont",
"state": "CO",
"postal_code": "805013128",
"country_code": "US",
"telephone_number": "720-494-3132",
"fax_number": "720-494-3107",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOON",
"first_name": "DANIEL",
"middle_name": "KYEONGTAEK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-17",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MA",
"license": "261980",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "2010023564",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CO",
"license": "DR.0057156",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "2010019173",
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "CO",
"license": "DR.0057156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.