Chad Gary Moody, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

125899 Issued in FL

Practice address

600 East Blvd
Elkhart, IN 46514-2483

Phone

(801) 462-5485

NPI assigned

Mar 8, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, AZ2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grand Canyon Anesthesia LLCGroup PAC ID 3678824752, 50 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• City of Hope Cancer Center Phoenix Hospital, Goodyear, AZ, CCN 030138

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Grand Canyon Anesthesia LLC

  • Anesthesiology Physician
  • Scottsdale, AZ
  • NPI 1356822902

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Northern Indiana Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • South Bend, IN
  • NPI 1033891510

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  IN, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Care Associates, LLC

  • Certified Registered Nurse Anesthetist
  • South Bend, IN
  • NPI 1073899449

  Nurse Anesthetist, Certified Registered

  NPD
• Digestive Care of Evansville PC

  • Gastroenterology Physician
  • Newburgh, IN
  • NPI 1376751891
  NPD (past)
• Michiana Gastroenterology, Inc

  • Gastroenterology Physician
  • South Bend, IN
  • NPI 1821094525
  NPD (past)

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

• Western Regional Medical Center Inc

  dba Western Regional Medical Center Retail Pharmacy

  • Community/Retail Pharmacy
  • Goodyear, AZ
  • NPI 1710138037

  Hospital

  Care Compare affiliation
• Western Regional Medical Center, Inc.

  dba City of Hope Cancer Center Phoenix

  • General Acute Care Hospital
  • Goodyear, AZ
  • NPI 1508029422
  Care Compare affiliation

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1699233676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15898 MARCELLO CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341102832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 EAST BLVD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142483",
            "telephone_number": "801-462-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "CHAD",
        "middle_name": "GARY",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "125899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyesha Mitchell
• Nkosazana Mlotshwa, RBT
• Khalid Mohamed, MD
• Rabia Mohammad, M.D.
• Shoeb Mohammed, M.D.
• Susan Marie Moore-Riesbeck, D.O.
• Roger T Moore, M.D.
• Tatyana Moore
• Danielle Morales-Funez
• Alexia Morales

• Certified Registered Nurse Anesthetist in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Certified Registered Nurse Anesthetist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.