Individual provider Active NPI

Janna K. Gelderman-Moffett, DO

  • Hospitalist Physician
  • Louisville, CO
National Provider Identifier
1992879241
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
55567 Issued in CO
Practice address
100 Health Park Dr
Louisville, CO 80027-9583
Phone
(303) 673-1000
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101017103 MI
Internal Medicine Physician 207R00000X 34007312 OH
Hospitalist Physician 208M00000X 55567 CO Primary

Addresses

Primary practice location

100 Health Park Dr
Louisville, CO 80027-9583

Mailing address

100 Health Park Dr
Louisville, CO 80027-9583
Phone (303) 673-1000

Other identifiers 4

IdentifierTypeStateIssuer
2194110MedicaidOH
3810014817MedicaidWV
90800079MedicaidCO
114955900MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20110630000281 CO Practitioner - HospitalistPractitioner - Internal Medicine 6901868652 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101017103MIMDInternal Medicine Physician
34007312OHMDInternal Medicine Physician
55567COMDCardiovascular Disease Physician
1743WVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Services, PC Internal Medicine CurrentSince Aug 6, 2017 Accepting new patients
Portercare Adventist Health System CurrentSince Jul 1, 2015 Accepting new patients
Inpatient Services, PC Internal Medicine CurrentSince Aug 6, 2017 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Jul 1, 2015 Accepting new patients
Valley View Hospital Association CurrentSince Jun 15, 2022 Accepting new patients
Valley View Hospital Association CurrentSince Jun 15, 2022 Accepting new patients
Hospitalist Medicine Physicians of Lucas County, LTD Internal Medicine Past Accepting new patients
Northwest Ohio Emergency Services, Inc. Past Accepting new patients
New West Physicians Inc Internal Medicine Past Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Internal Medicine Past Accepting new patients

Locations

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

1830 Blake Ave
Ste 101
Glenwood Springs, CO 81601
Phone (970) 384-7144

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

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

7780 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 347-5360

100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000

8451 Pearl St
Thornton, CO 80229
Phone (303) 227-9981

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

Interoperability endpoints

  • Direct secure messaging: janna.gelderman-moffett.1@9028.direct.athenahealth.com

Organizations & group practices 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1992879241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HEALTH PARK DR",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279583",
            "telephone_number": "303-673-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEALTH PARK DR",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279583",
            "telephone_number": "303-673-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELDERMAN-MOFFETT",
        "first_name": "JANNA",
        "middle_name": "K.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101017103",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34007312",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "55567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2194110",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810014817",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90800079",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114955900",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

Verify at the official NPI Registry.