Individual provider Active NPI

David Ernest Moody, MD

  • Diagnostic Radiology Physician
  • Coeur D Alene, ID
National Provider Identifier
1902808793
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M-8418 Issued in ID
Practice address
700 W Ironwood Dr Ste 175
Coeur D Alene, ID 83814-4401
Phone
(208) 625-6309
Fax
(208) 625-6310
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X M-8418 ID Primary

Addresses

Primary practice location

700 W Ironwood Dr Ste 175
Coeur D Alene, ID 83814-4401

Mailing address

700 W Ironwood Dr Ste 175
Coeur D Alene, ID 83814-4401
Phone (208) 625-6309

Other practice location 1

25 Jacobs Gulch Rd
Kellogg, ID 83837-2023
Phone (208) 784-1221

Other practice location 2

3815 N Schreiber Way Unit 101
Coeur D Alene, ID 83815-8434
Phone (208) 755-2804

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmoody627555@direct.multicare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20040520001259 ID Practitioner - Diagnostic Radiology 1951392604 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Loma Linda University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kootenai Health IncGroup PAC ID 1355792276, 394 clinicians
Radiology Associates of North Idaho PAGroup PAC ID 4385635150, 32 clinicians
Benewah Community HospitalGroup PAC ID 1850200700, shared by 2 NPIs, 39 clinicians
Bonner General Hospital IncGroup PAC ID 4082690466, 47 clinicians
Boundary Community HospitalGroup PAC ID 3274583406, 29 clinicians

Practice addresses (Care Compare)

1055 Riverside Ave
Orofino, ID 83544-9029
Phone (208) 476-5777

1300 E Mullan Ave
Post Falls, ID 83854-6054

1300 E Mullan Ave
Suite 1300
Post Falls, ID 83854-6057
Phone (208) 625-5630

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-6360

229 S 7TH St
St Maries, ID 83861-1803
Phone (208) 245-5551

423 N 3Rd Ave
Sandpoint, ID 83864-1511

520 N 3Rd Ave
Sandpoint, ID 83864-1507
Phone (208) 263-0649

6640 Kaniksu St
Bonners Ferry, ID 83805-7532
Phone (208) 267-3141

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as apm
Quality
89.26
Promoting interoperability
69.9
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as apm
Quality
89.26
Promoting interoperability
69.9
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bonner General Hospital Inc. CurrentSince Jul 28, 2015 Accepting new patients
Radiology Associates of North Idaho, PA Diagnostic Radiology CurrentSince Mar 31, 2004 Accepting new patients
Incyte Pathology, PLLC Current Accepting new patients
Boundary Community Hospital CurrentSince Jul 24, 2003 Accepting new patients
Boundary Community Hospital CurrentSince Jul 24, 2003 Accepting new patients
Bonner General Hospital, Inc CurrentSince Sep 1, 2015 Accepting new patients
Shoshone Medical Center CurrentSince Jan 27, 2026 Accepting new patients
Kootenai Health, Inc. Current Accepting new patients
Kootenai Health, Inc. CurrentSince Jun 16, 2018 Accepting new patients
Shoshone Medical Center CurrentSince Jan 27, 2026 Accepting new patients
Kootenai Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Kootenai Health, Inc. CurrentSince Jun 16, 2018 Accepting new patients
North Idaho MRI Past Accepting new patients
Boundary Community Hospital Diagnostic Radiology Past Accepting new patients
North Idaho Imaging Center Diagnostic Radiology Past Accepting new patients

Locations

6640 Kaniksu St
Bonners Ferry, ID 83805
Phone (208) 267-3141

700 W Ironwood Dr
Ste 175
Coeur D Alene, ID 83814
Phone (208) 625-6300

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

700 W Ironwood Dr
Coeur D Alene, ID 83814
Phone (208) 666-2900

700 W Ironwood Dr
Ste 110
Coeur D Alene, ID 83814
Phone (208) 666-3200

825 W Ironwood Dr
Coeur D Alene, ID 83814
Phone (208) 666-2910

25 Jacobs Gulch Rd
Kellogg, ID 83837
Phone (208) 784-1221

1300 E Mullan Ave
Ste 700
Post Falls, ID 83854
Phone (208) 625-5564

520 N Third Ave
Sandpoint, ID 83864
Phone (208) 263-0649

423 N Third Ave
Ste 210
Sandpoint, ID 83864
Phone (208) 263-1441

229 S 7th St
St Maries, ID 83861
Phone (208) 245-2591

Interoperability endpoints

  • Direct secure messaging: dmoody627555@direct.multicare.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/9a0a9763-cc6e-4ca0-bdec-c16291c965b9/

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 7

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1902808793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W IRONWOOD DR STE 175",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144401",
            "telephone_number": "208-625-6309",
            "fax_number": "208-625-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W IRONWOOD DR STE 175",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144401",
            "telephone_number": "208-625-6309",
            "fax_number": "208-625-6310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Jacobs Gulch Rd",
            "address_purpose": "LOCATION",
            "city": "Kellogg",
            "state": "ID",
            "postal_code": "838372023",
            "country_code": "US",
            "telephone_number": "208-784-1221",
            "fax_number": "208-784-0961",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3815 N Schreiber Way Unit 101",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838158434",
            "country_code": "US",
            "telephone_number": "208-755-2804",
            "fax_number": "208-765-0277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOODY",
        "first_name": "DAVID",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M-8418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmoody627555@direct.multicare.org",
            "affiliation": "N",
            "address_1": "700 W Ironwood Dr Ste 175",
            "city": "Coeur D Alene",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838144401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

Verify at the official NPI Registry.