Individual provider Active NPI

Timothy Allen Moore, CRNA

  • Certified Registered Nurse Anesthetist
  • Castle Rock, CO
National Provider Identifier
1407293699
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN.0990803-CRNA Issued in CO
Practice address
2350 Meadows Blvd
Castle Rock, CO 80109-8405
Phone
(720) 455-5000
NPI assigned
May 28, 2013
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APN.0990803-CRNA CO Primary
Registered Nurse 163W00000X RN.0165348 CO

Addresses

Primary practice location

2350 Meadows Blvd
Castle Rock, CO 80109-8405

Mailing address

6818 E Lookout Dr
Parker, CO 80138-8709
Phone (720) 318-7764

Other practice location 1

9395 Crown Crest Blvd
Parker, CO 80138-8573
Phone (303) 603-3520

Other identifiers 1

IdentifierTypeStateIssuer
26870576MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address timothy.moore@usap.com Direct US Anesthesia Partners of Colorado Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130910000712 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153565320 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
US Anesthesia Partners of Colorado IncGroup PAC ID 6002072055, 472 clinicians

Practice addresses (Care Compare)

10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522
Phone (303) 438-3999

1501 S Potomac St
Aurora, CO 80012-5411

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.0165348COMDRegistered Nurse
APN.0990803-CRNACOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Guardian Anesthesia Services, Inc CurrentSince Jan 1, 2018 Accepting new patients
Care Dental Surgical Center of Denver LLC CurrentSince Feb 28, 2023 Accepting new patients
East Morgan County Hospital CurrentSince Jul 1, 2018 Accepting new patients
Care Dental Surgical Center of Denver LLC CurrentSince Feb 28, 2023 Accepting new patients
East Morgan County Hospital CurrentSince Jul 1, 2018 Accepting new patients
Astro Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince May 10, 2020 Accepting new patients
US Anesthesia Partners of Colorado Inc. Nurse Anesthetist, Certified Registered CurrentSince Aug 30, 2014 Accepting new patients
Banner Anesthesiologists Colorado LLC Past Accepting new patients
Sterling Regional Medcenter Past Accepting new patients

Locations

1111 S Abilene Ct
Aurora, CO 80012
Phone (720) 306-5397

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

2400 Edison St
Brush, CO 80723
Phone (970) 842-2833

2350 Meadows Blvd
Castle Rock, CO 80109
Phone (720) 248-3413

333 W Hampden Ave
Ste 600
Englewood, CO 80110
Phone (303) 761-5646

909 E Railroad Ave
Fort Morgan, CO 80701
Phone (970) 542-4700

8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111

8000 E Maplewood Ave
Ste 200
Greenwood Village, CO 80111
Phone (303) 785-4700

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

151 E 5600 S
Ste 100
Salt Lake City, UT 84107
Phone (801) 833-0449

Organizations & group practices 9

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.

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": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1407293699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6818 E LOOKOUT DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388709",
            "telephone_number": "720-318-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 MEADOWS BLVD",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098405",
            "telephone_number": "720-455-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9395 Crown Crest Blvd",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801388573",
            "country_code": "US",
            "telephone_number": "303-603-3520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TIMOTHY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2023-11-27",
        "certification_date": "2021-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "APN.0990803-CRNA",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.0165348",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26870576",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothy.moore@usap.com",
            "affiliation": "Y",
            "endpointDescription": "USAP",
            "affiliationName": "US Anesthesia Partners of Colorado Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "US Anesthesia Partners",
            "address_1": "9395 Crown Crest Blvd",
            "city": "Parker",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801388573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.