Active NPI
Nicholas J.E. Moore, MD
- Diagnostic Radiology Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 48664
- Practice address
- 1390 Kelly Johnson Blvd
Colorado Springs, CO 80920-3908 - Phone
- (719) 593-1799
- NPI assigned
- May 5, 2006
- Last updated
- Mar 7, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 48664 | CO | Primary |
Addresses
Primary practice location
1390 Kelly Johnson Blvd
Colorado Springs, CO 80920-3908
Mailing address
1390 Kelly Johnson Blvd
Colorado Springs, CO 80920-3908
Phone (719) 593-1799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88639266 | Other | CO | MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, NY, WV, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
122 Pinnell St
Ripley, WV 25271-9101
Phone (304) 372-2731
1407 Mesa Ave
Colorado Springs, CO 80906-3118
Phone (708) 915-5671
2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 264-1000
4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800
670 Bills Ranch Rd
Apt 329E
Frisco, CO 80443-5213
Phone (615) 315-0600
911 Bypass Rd
BLDG a
Pikeville, KY 41501-1689
Phone (606) 430-3500
Hospital & facility affiliations
- Thomas Memorial Hospital
- Clark Regional Medical Center
- Tristar Northcrest Medical Center
- Pikeville Medical Center
- Meadowview Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.1 of 100
- Quality
- 76.59
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.02 of 100
- Quality
- 75.32
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.8 of 100
- Quality
- 85
- Improvement activities
- 40
- Cost
- 76.83
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.23 of 100
- Quality
- 83.8
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 328236 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarksville Imaging Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Adi Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Community Health Association | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Crouse Radiology Associates LLP | Diagnostic Radiology | Current | Accepting new patients |
| Pikeville Medical Center Inc. | Current | Accepting new patients | |
| Medical Imaging Center LLP | Current | Accepting new patients | |
| Louisville Radiology Imaging Consultants, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Community Health Association | Current | Accepting new patients | |
| Syracuse Orthopedic Specialists, PLLC | Current | Accepting new patients | |
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| Middle Tennessee Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Alliance PC | Diagnostic Radiology | Current | Accepting new patients |
| THS Physician Partners Inc | Current | Accepting new patients | |
| Pikeville Medical Center Inc | Current | Accepting new patients | |
| North Country Hospital & Health Center Inc | Diagnostic Radiology | Past | Accepting new patients |
| Community Health Association | Past | Accepting new patients | |
| Visiting Nurse Association of Wisconsin, Inc. | Past | Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients | |
| Penrad Imaging LLC | Past | Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients | |
| Great Lakes Radiologists SC | Diagnostic Radiology | Past | Accepting new patients |
| Penrad Imaging LLC | Past | Accepting new patients | |
| Penrad Imaging LLC | Past | Accepting new patients |
Locations (25 of 31)
254 Main St
Cadiz, KY 42211
Phone (270) 522-3215
295 Main St
Calhoun, KY 42327
Phone (270) 273-9310
140 Veterans Memorial Ave
Clay, KY 42404
Phone (270) 326-4780
107 E Main St
Earlington, KY 42410
Phone (270) 383-2521
44 W Main St
Fordsville, KY 42343
Phone (270) 276-3150
440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000
1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806
20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300
1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100
210 N Main St
Morgantown, KY 42261
Phone (270) 526-3137
1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000
2200 E Parrish Ave
Bldg D
Owensboro, KY 42303
Phone (270) 688-1770
184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213
911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201
215 E Main St
Providence, KY 42450
Phone (270) 667-7017
1625 Nashville St
Russellville, KY 42276
Phone (270) 726-4011
37 W Garden St
Ste 107
Auburn, NY 13021
Phone (315) 255-2828
5700 W Genesee St
Ste 7
Camillus, NY 13031
Phone (315) 701-1670
5000 Brittonfield Pkwy
Ste A112
East Syracuse, NY 13057
Phone (315) 234-4680
5719 Widewaters Pkwy
Syracuse, NY 13214
Phone (315) 251-3110
736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111
739 Irving Ave
Ste 150
Syracuse, NY 13210
Phone (315) 470-2985
L3539
Columbus, OH 43260
Phone (304) 414-4800
3310 Aspen Grove Dr
Ste 203
Franklin, TN 37067
Phone (615) 771-8274
12554 Riata Vista Cir
Fl 1
Austin, TX 78727
Organizations & group practices 26
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.
-
dba Jackson General Hospital
- Critical Access Hospital
- Ripley, WV
- NPI 1649277476
-
- Diagnostic Radiology Physician
- Owensboro, KY
- NPI 1639115447
CO
-
- Multi-Specialty Clinic/Center
- Pikeville, KY
- NPI 1528195864
-
- Internal Medicine Physician
- South Charleston, WV
- NPI 1871866806
-
dba University Health Associates
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
Diagnostic Radiology
-
dba Clarksville Imaging Center
- Diagnostic Radiology Physician
- Clarksville, TN
- NPI 1043285539
CO
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Thomas Memorial Hospital
- General Acute Care Hospital
- South Charleston, WV
- NPI 1316925506
-
dba Clark Regional Medical Center
- General Acute Care Hospital
- Winchester, KY
- NPI 1811213994
-
dba Meadowview Regional Medical Center
- Rural Health Clinic/Center
- Maysville, KY
- NPI 1821135518
Hospital
-
dba Meadowview Regional Medical Center
- Rural Acute Care Hospital
- Maysville, KY
- NPI 1881785863
-
- General Acute Care Hospital
- Pikeville, KY
- NPI 1285621623
-
dba NorthCrest Medical Center
- General Acute Care Hospital
- Springfield, TN
- NPI 1093397184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1417905092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1390 KELLY JOHNSON BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809203908",
"telephone_number": "719-593-1799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1390 KELLY JOHNSON BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809203908",
"telephone_number": "719-593-1799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "NICHOLAS",
"middle_name": "J.E.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "48664",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "88639266",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.