Individual provider Active NPI

Rebecca L Moore, MD

  • Internal Medicine Physician
  • Cortez, CO
National Provider Identifier
1962471573
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29536 Issued in CO
Practice address
1311A N Mildred Rd
Cortez, CO 81321-2231
Phone
(970) 565-8556
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X DR.0029536 CO
Internal Medicine Physician 207R00000X 29536 CO Primary

Addresses

Primary practice location

1311A N Mildred Rd
Cortez, CO 81321-2231

Mailing address

1311 N Mildred Rd
Cortez, CO 81321-2231
Phone (970) 565-6666

Other practice location 1

6440 S Pontiac Ct
Centennial, CO 80111-4622
Phone (719) 482-6861

Other identifiers 1

IdentifierTypeStateIssuer
01295369MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address swhealth@1239.direct.myezyaccess.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061002000367 CO Practitioner - Internal MedicinePractitioner - Hospitalist 9133124886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.14 of 100Reported as group
Quality
97.98
Promoting interoperability
79
Improvement activities
40
Cost
62.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29536COMDInternal Medicine Physician
5584AKMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Feb 1, 2018 Accepting new patients
Portercare Adventist Health System CurrentSince Feb 1, 2018 Accepting new patients
Fairbanks Memorial Physician Specialities Past Accepting new patients
Pulmonary Associates PastSince Jul 1, 1992 Accepting new patients
Advantage Inpatient Medical Specialists, P.C. Hospitalist Past Accepting new patients
Philippe G Lopez MD PC PastSince Jun 16, 2024 Accepting new patients
Lander Valley Physician Practices, LLC Internal Medicine Past Accepting new patients
Stan Worley MD PC Internal Medicine Past Accepting new patients

Locations

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1962471573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 N MILDRED RD",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212231",
            "telephone_number": "970-565-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311A N MILDRED RD",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212231",
            "telephone_number": "970-565-8556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6440 S Pontiac Ct",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801114622",
            "country_code": "US",
            "telephone_number": "719-482-6861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "REBECCA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "DR.0029536",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "29536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01295369",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swhealth@1239.direct.myezyaccess.com",
            "affiliation": "N",
            "endpointDescription": "Southwest Medical Group - Primary Care",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1311A N Mildred Rd",
            "city": "Cortez",
            "state": "CO",
            "country_code": "US",
            "postal_code": "813212231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cortez, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.