NPIMap

Individual provider Active NPI

Jeffrey A Moody, MD

  • Urology Physician
  • Colorado Springs, CO
National Provider Identifier
1629013628
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
37666 Issued in CO
Practice address
6071 E Woodmen Rd
Suite 300
Colorado Springs, CO 80923-2607
Phone
(719) 531-7007
Fax
(719) 531-7122
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 37666 CO Primary

Addresses

Primary practice location

6071 E Woodmen Rd
Suite 300
Colorado Springs, CO 80923-2607

Mailing address

6071 E Woodmen Rd
Suite 300
Colorado Springs, CO 80923-2607
Phone (719) 531-7007

Other identifiers 2

IdentifierTypeStateIssuer
19237278MedicaidCO
340018577OtherCORAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101028001396 CO Practitioner - Urology 8527959444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Iowa, RJ & L Carver College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

6071 E Woodmen Rd
Suite 300
Colorado Springs, CO 80923-2613
Phone (719) 531-7007

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37666COMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Lithotripter LLC Urology CurrentSince Sep 1, 1999 Accepting new patients
Colorado Springs Urological Associates LLC Urology CurrentSince Aug 3, 2015 Accepting new patients
Colorado Springs Urological Associates LLC Urology CurrentSince Oct 1, 2017 Accepting new patients

Locations

1644 Medical Center Pt
Colorado Springs, CO 80907
Phone (717) 776-4712

1644 Medical Center Pt
Ste 200
Colorado Springs, CO 80907
Phone (719) 634-1994

1644 Medical Center Pt
Ste 100
Colorado Springs, CO 80907
Phone (719) 247-5500

6071 E Woodmen Rd
Ste 300
Colorado Springs, CO 80923
Phone (719) 531-7007

3535 S Lafayette St
Ste 220
Englewood, CO 80113
Phone (303) 839-6060

Interoperability endpoints

  • Direct secure messaging: jmoody@ua.gwaydirect.com
  • Direct secure messaging: rockymountainlithotripterllc.jeffreymoody@133913.advancedmd-direct.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.645

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.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1629013628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6071 E WOODMEN RD",
            "address_2": "SUITE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232607",
            "telephone_number": "719-531-7007",
            "fax_number": "719-531-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 E WOODMEN RD",
            "address_2": "SUITE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232607",
            "telephone_number": "719-531-7007",
            "fax_number": "719-531-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CO",
            "license": "37666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19237278",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340018577",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.