Individual provider Active NPI

Anne Scholl Moore, MD

  • Pediatrics Physician
  • Aurora, CO
National Provider Identifier
1649481391
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
21074 Issued in CO
Practice address
13123 16TH Ave, NW
Aurora, CO 80045
Phone
(720) 777-6004
NPI assigned
May 24, 2007
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35144365 OH
Pediatrics Physician 208000000X D0093160 MD
Pediatrics Physician 208000000X 2024-00312 NC
Pediatrics Physician 208000000X 21074 CO Primary
Hospitalist Physician 208M00000X D0093160 MD
Hospitalist Physician 208M00000X 35.144365 OH

Addresses

Primary practice location

13123 16TH Ave, NW
Aurora, CO 80045

Mailing address

10272 E Democrat Road
Parker, CO 80134
Phone (720) 236-5079

Other practice location 1

335 Glessner Ave
Mansfield, OH 44903-2269
Phone (419) 526-8581

Other practice location 2

850 S Main St
Holly Springs, NC 27540-8906
Phone (984) 960-1800

Other identifiers 3

IdentifierTypeStateIssuer
0475469MedicaidOH
001293OtherCOKAISER-COMMERCIAL NUMBER
01210749MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, IA, TN, SD4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20111024000666 WY Practitioner - Pediatric Medicine 7911170782 Reassigns benefits to 1 organization
I20140115001472 IA Practitioner - Pediatric Medicine 7911170782 Reassigns benefits to 1 organization
I20220816001390 TN Practitioner - Pediatric Medicine 7911170782 Reassigns benefits to 1 organization
I20230419000842 SD Practitioner - Family PracticePractitioner - Pediatric Medicine 7911170782 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21074COMDPediatrics Physician
2024-00312NCMDPediatrics Physician
35144365OHMDPediatrics Physician
D0093160MDMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cookeville Regional Medical Center Hospitalist CurrentSince Jul 14, 2022 Accepting new patients
Trinity Regional Medical Center Hospitalist CurrentSince Mar 6, 2020 Accepting new patients
Mercy Hospital, Iowa City, Iowa CurrentSince Jul 12, 2022 Accepting new patients
Avera St. Luke's CurrentSince May 26, 2024 Accepting new patients
Avera St. Luke's Hospitalist Current Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Sep 23, 2011 Accepting new patients
Avera St. Lukes CurrentSince May 26, 2024 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Sep 23, 2011 Accepting new patients
Cookeville Regional Medical Center CurrentSince Jul 14, 2022 Accepting new patients

Locations

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

500 E Market St
Iowa City, IA 52245
Phone (319) 339-0300

540 E Jefferson St
Ste 400
Iowa City, IA 52245
Phone (319) 339-3400

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

140 W 7th St
Cookeville, TN 38501
Phone (931) 783-5582

1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352

Interoperability endpoints

  • Direct secure messaging: amoore1126023@direct.unc.nchie.net
  • Direct secure messaging: amoore13958@direct.crmcwy.org
  • Direct secure messaging: amoore22371@carolinaeastmc.direct-ci.com
  • Direct secure messaging: amoore38107@ehrdirect.uhhospitals.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1649481391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10272 E DEMOCRAT ROAD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "80134",
            "telephone_number": "720-236-5079",
            "fax_number": "303-805-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13123 16TH AVE, NW",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80045",
            "telephone_number": "720-777-6004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 Glessner Ave",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449032269",
            "country_code": "US",
            "telephone_number": "419-526-8581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 S Main St",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "NC",
            "postal_code": "275408906",
            "country_code": "US",
            "telephone_number": "984-960-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANNE",
        "middle_name": "SCHOLL",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35144365",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0093160",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2024-00312",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "21074",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D0093160",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.144365",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0475469",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER-COMMERCIAL NUMBER",
            "identifier": "001293",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01210749",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.