Individual provider Active NPI

Andrew Davis Moffat, D.O.

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Layton, UT
National Provider Identifier
1942512751
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
8609351-1204 Issued in UT
Practice address
2132 N Robins Dr Ste 100
Layton, UT 84041-7059
Phone
(801) 807-7900
Fax
(801) 807-7904
NPI assigned
Jul 9, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 86093511204 UT
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 86093511204 UT
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0011X 8609351-1204 UT Primary

Addresses

Primary practice location

2132 N Robins Dr Ste 100
Layton, UT 84041-7059

Mailing address

3590 W 9000 S
Suite 105
West Jordan, UT 84088-8857
Phone (801) 601-2322

Other practice location 1

3590 W 9000 S
Suite 105
West Jordan, UT 84088-8857
Phone (801) 601-2322

Other practice location 2

3000 N Triumph Blvd
Lehi, UT 84043-7186
Phone (385) 345-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20141104001444 UT Practitioner - Undersea and Hyperbaric MedicinePractitioner - Family Practice 8729200985 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Undersea and Hyperbaric MedicineAlso: Family Practice
Education
Arizona College of Osteopathic Medicine Mid Western University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

2132 N Robins Dr
Layton, UT 84041-7060
Phone (801) 773-3900

Hospital & facility affiliations

  • Community Nursing Services Home health agency, West Valley City, UT, CCN 467001
  • Holy Cross Hospital-Davis Hospital, Layton, UT, CCN 460041
  • Holy Cross Hospital-Jordan Valley Hospital, West Jordan, UT, CCN 460051
  • University of Utah Hospital and Clinics Hospital, Salt Lake City, UT, CCN 460009
  • Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004
  • Intermountain Health Layton Hospital Hospital, Layton, UT, CCN 460061

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue263
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86093511204UTMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado Multi-Specialty CurrentSince Apr 1, 2025 Accepting new patients
Ihc Health Services Inc Multi-Specialty Current Accepting new patients
Ihc Health Services Inc CurrentSince Jan 2, 2022 Accepting new patients
Ihc Health Services, Inc. Multi-Specialty CurrentSince Jan 2, 2022 Accepting new patients
Physician Group of Utah Inc Multi-Specialty CurrentSince Jul 22, 2014 Accepting new patients
Ihc Health Services Inc Multi-Specialty Current Accepting new patients
Catholic Health Initiatives Colorado Multi-Specialty Current Accepting new patients
Ihc Health Services Inc Multi-Specialty CurrentSince May 23, 2022 Accepting new patients
Catholic Health Initiatives Colorado Multi-Specialty CurrentSince Apr 1, 2025 Accepting new patients
Catholic Health Initiatives Colorado Multi-Specialty Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

2132 N Robins Dr
Layton, UT 84041
Phone (801) 728-0600

2132 N Robins Dr
Ste 100
Layton, UT 84041
Phone (801) 807-7900

3000 N Triumph Blvd
Lehi, UT 84043
Phone (385) 345-3000

82 S 1100 E
Ste 103
Salt Lake Cty, UT 84102
Phone (801) 505-5370

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

540 S Arapeen Dr
Ste 110
Salt Lake Cty, UT 84108
Phone (801) 582-4268

5171 S Cottonwood St
South Salt Lake, UT 84107
Phone (801) 507-4000

2530 W 4700 S
Ste B8
Taylorsville, UT 84129
Phone (801) 967-5866

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

3590 W 9000 S
Ste 105
West Jordan, UT 84088
Phone (801) 233-6483

Organizations & group practices 10

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 8

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": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1942512751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 W 9000 S",
            "address_2": "SUITE 105",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888857",
            "telephone_number": "801-601-2322",
            "fax_number": "801-601-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 N ROBINS DR STE 100",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840417059",
            "telephone_number": "801-807-7900",
            "fax_number": "801-807-7904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3590 W 9000 S",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840888857",
            "country_code": "US",
            "telephone_number": "801-601-2322",
            "fax_number": "801-601-2679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 N Triumph Blvd",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840437186",
            "country_code": "US",
            "telephone_number": "385-345-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOFFAT",
        "first_name": "ANDREW",
        "middle_name": "DAVIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-09",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "86093511204",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "UT",
            "license": "86093511204",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "UT",
            "license": "8609351-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

Verify at the official NPI Registry.