Active NPI
Moises Terrazas, PA
- Physician Assistant
- Murray, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 12168363-1206
- Practice address
- 5171 S Cottonwood St Ste 210
Murray, UT 84107-5718 - Phone
- (801) 507-3380
- NPI assigned
- Jul 19, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 12168363-1206 | UT | Primary |
Addresses
Primary practice location
5171 S Cottonwood St Ste 210
Murray, UT 84107-5718
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice location 1
375 S Chipeta Way
Salt Lake City, UT 84108-1260
Phone (801) 598-4117
Other practice location 2
220 W 7200 S Ste A
Midvale, UT 84047-1043
Phone (801) 566-5494
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mterrazas201076@direct.med.utah.edu | Direct | University of Utah |
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC/ Office Ally |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1525 W 2100
Salt Lake City, UT 84119-1407
Phone (801) 213-9900
5121 S Cottonwood St
Murray, UT 84107-5701
Phone (801) 507-7000
60 E 3750
South Salt Lake, UT 84115-4428
Phone (801) 486-0911
Hospital & facility affiliations
- Intermountain Medical Center
- University of Utah Hospital and Clinics
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| University of Utah Community Physicians Group | Family Medicine | Current | Accepting new patients |
| Midtown Community Health Center Inc | Current | Accepting new patients | |
| Midtown Community Health Center Inc | Current | Accepting new patients | |
| University of Utah Community Physicians Group | Current | Accepting new patients | |
| Ihc Health Services Inc | Family Medicine | Current | Accepting new patients |
| Ihc Health Services, Inc. | Current | Accepting new patients |
Locations
22 S State St
Ste 1007
Clearfield, UT 84015
Phone (801) 334-0030
2240 Adams Ave
Ogden, UT 84401
Phone (801) 393-5355
1525 W 2100 S
Salt Lake City, UT 84119
Phone (801) 213-8841
5171 S Cottonwood St
Ste 210
Salt Lake City, UT 84107
5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998
400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
60 E 3750 S
South Salt Lake, UT 84115
Phone (801) 262-3315
1300 SE Cardinal Ct
Ste 190
Vancouver, WA 98683
Phone (360) 448-4479
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Ogden, UT
- NPI 1548267420
-
- Family Medicine Physician
- Salt Lake City, UT
- NPI 1467241554
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1699909457
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Federally Qualified Health Center (FQHC)
- Logan, UT
- NPI 1053780171
-
- Family Medicine Physician
- Park City, UT
- NPI 1053715763
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1124422126
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1487734976
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1588656870
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1699889576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1487207478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5171 S COTTONWOOD ST STE 210",
"city": "MURRAY",
"state": "UT",
"postal_code": "841075718",
"telephone_number": "801-507-3380"
}
],
"practiceLocations": [
{
"address_1": "375 S Chipeta Way",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841081260",
"country_code": "US",
"telephone_number": "801-598-4117",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "220 W 7200 S Ste A",
"address_purpose": "LOCATION",
"city": "Midvale",
"state": "UT",
"postal_code": "840471043",
"country_code": "US",
"telephone_number": "801-566-5494",
"fax_number": "801-746-0420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TERRAZAS",
"first_name": "MOISES",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-19",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "12168363-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mterrazas201076@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320100",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC/ Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.