Active NPI
Kimberly Moyle, M.D.
- Maternal & Fetal Medicine Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 11758460-1205
- Practice address
- 30 N 1900 E RM 2B200
Salt Lake City, UT 84132-2209 - Phone
- (801) 581-7647
- NPI assigned
- Jun 23, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 11758460-1205 | UT | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 11758460-1205 | UT | Primary |
Addresses
Primary practice location
30 N 1900 E RM 2B200
Salt Lake City, UT 84132-2209
Mailing address
30 N 1900 E RM 2B200
Salt Lake City, UT 84132-2209
Phone (801) 581-7647
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmoyle440017@direct.med.utah.edu | Direct | UNIVERSITY OF UTAH |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11758460-1205 | UT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Specialty Services | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| University of Utah Specialty Services | Maternal & Fetal Medicine | Current | Accepting new patients |
| University of Utah Adult Services | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| University of Utah Specialty Services | Maternal & Fetal Medicine | Current | Accepting new patients |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Western Gynecological and Obstetrical Clinic, Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
98 N 1100 E
Ste 402
American Fork, UT 84003
Phone (801) 492-2320
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119
3723 W 12600 S
Ste 350
Riverton, UT 84065
Phone (801) 285-4730
5121 S Cottonwood St
Ste 130
Salt Lake City, UT 84107
Phone (801) 507-7400
8th Ave And C St
Salt Lake City, UT 84143
Phone (801) 350-4110
50 N Medical Dr
#U
Salt Lake Cty, UT 84132
Phone (801) 581-4314
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Interoperability endpoints
- kimberly.moylemd.p1@direct.plannedparenthoodla.nextgenshare.com
- kmoyle440017@direct.med.utah.edu
Organizations & group practices 11
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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1043614811
-
- Hospitalist Physician
- St George, UT
- NPI 1861522799
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Ophthalmology Physician
- Salt Lake City, UT
- NPI 1427452275
-
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
-
- Maternal & Fetal Medicine Physician
- Salt Lake City, UT
- NPI 1780088849
-
- Maternal & Fetal Medicine Physician
- Elko, NV
- NPI 1316324973
-
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
-
- Obstetrics & Gynecology Physician
- Riverton, UT
- NPI 1619159795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1942651682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N 1900 E RM 2B200",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841322209",
"telephone_number": "801-581-7647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N 1900 E RM 2B200",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841322209",
"telephone_number": "801-581-7647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYLE",
"first_name": "KIMBERLY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-23",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "UT",
"license": "11758460-1205",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "UT",
"license": "11758460-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmoyle440017@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "UNIVERSITY OF UTAH",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.