Individual provider Active NPI

Kelly Moeder, MD

  • Family Medicine Physician
  • Hays, KS
National Provider Identifier
1659948438
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-51057 Issued in KS
Practice address
2509 Canterbury Dr
Hays, KS 67601-2233
Phone
(785) 623-5095
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-51057 KS Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 04-51057 KS

Addresses

Primary practice location

2509 Canterbury Dr
Hays, KS 67601-2233

Mailing address

2220 Canterbury Dr
Hays, KS 67601-2370
Phone (785) 623-2254

Other practice location 1

2500 Canterbury Dr Ste 112
Hays, KS 67601-2257
Phone (785) 261-7599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250719000077 KS Practitioner - Family PracticePractitioner - Sports Medicine 3971907106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hays Medical Center IncGroup PAC ID 1557279676, 188 clinicians

Practice addresses (Care Compare)

2500 Canterbury Dr
Suite 112
Hays, KS 67601-2258
Phone (785) 261-7599

Hospital & facility affiliations

  • Good Samaritan Home Health of Central Kansas Home health agency, Hays, KS, CCN 178064
  • Hays Medical Center Hospital, Hays, KS, CCN 170013
  • Russell Regional Hospital Hospital, Russell, KS, CCN 171350

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hays Medical Center, Inc. Current Accepting new patients
Hays Medical Center, Inc CurrentSince Aug 1, 2025 Accepting new patients
Hays Medical Center, Inc. Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients

Locations

2509 Canterbury Dr
Hays, KS 67601
Phone (785) 623-2300

2500 Canterbury Dr
Ste 112
Hays, KS 67601
Phone (785) 261-7599

2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000

Organizations & group practices 4

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 3

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": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1659948438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 CANTERBURY DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012370",
            "telephone_number": "785-623-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 CANTERBURY DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012233",
            "telephone_number": "785-623-5095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Canterbury Dr Ste 112",
            "address_purpose": "LOCATION",
            "city": "Hays",
            "state": "KS",
            "postal_code": "676012257",
            "country_code": "US",
            "telephone_number": "785-261-7599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOEDER",
        "first_name": "KELLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-51057",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "KS",
            "license": "04-51057",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.