Active NPI
Jaime Megan Moore, M.D.
- Pediatric Obesity Medicine Physician
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Obesity Medicine Physician
- License
- DR.0055059
- Practice address
- 13123 E 16TH Ave
Children'S Hospital Colorado- Dept of Nutrition
Aurora, CO 80045-7106 - Phone
- (720) 777-1234
- NPI assigned
- Apr 12, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Obesity Medicine Physician | 2080B0002X | DR.0055059 | CO | Primary |
| Internal Medicine Physician | 207R00000X | DR.0055059 | CO | |
| Pediatrics Physician | 208000000X | DR.0055059 | CO |
Addresses
Primary practice location
13123 E 16TH Ave
Children'S Hospital Colorado- Dept of Nutrition
Aurora, CO 80045-7106
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Phone (303) 493-7000
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0055059 | CO | MD | Pediatric Obesity Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians Incorporated | Internal Medicine | Current | Accepting new patients |
| Children'S Hospital Colorado | Current | Accepting new patients | |
| University Physicians, Incorporated | Current | Accepting new patients |
Locations
13123 E 16th Ave
Ste B130
Aurora, CO 80045
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
4090 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 305-1234
8111 E Lowry Blvd
Ste 120
Denver, CO 80230
Phone (720) 810-5442
Dept 1061
Denver, CO 80256
Interoperability endpoints
- jmoore54891@direct.childrenscolorado.org
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
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1275045049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1386934362",
"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",
"telephone_number": "303-493-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13123 E 16TH AVE",
"address_2": "CHILDREN'S HOSPITAL COLORADO- DEPT OF NUTRITION",
"city": "AURORA",
"state": "CO",
"postal_code": "800457106",
"telephone_number": "720-777-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JAIME",
"middle_name": "MEGAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-12",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "2080B0002X",
"taxonomy_group": "",
"desc": "Pediatrics, Obesity Medicine",
"state": "CO",
"license": "DR.0055059",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "DR.0055059",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "DR.0055059",
"primary": false
}
],
"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 Nov 5, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.