Active NPI
Janna K. Gelderman-Moffett, DO
- Hospitalist Physician
- Louisville, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 55567
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2194110 | Medicaid | OH | |
| 3810014817 | Medicaid | WV | |
| 90800079 | Medicaid | CO | |
| 114955900 | Medicaid | MI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110630000281 | CO | Practitioner - Hospitalist | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5101017103 | MI | MD | Internal Medicine Physician |
| 34007312 | OH | MD | Internal Medicine Physician |
| 55567 | CO | MD | Cardiovascular Disease Physician |
| 1743 | WV | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Services, PC | Internal Medicine | Current | Accepting new patients |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Inpatient Services, PC | Internal Medicine | Current | Accepting new patients |
| Valley View Hospital Association | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Valley View Hospital Association | Current | Accepting new patients | |
| Valley View Hospital Association | Current | 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
- 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.
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- Internal Medicine Physician
- Brighton, CO
- NPI 1710999768
CO, Internal Medicine
-
- Otolaryngology Physician
- Greenwood Village, CO
- NPI 1760761928
-
- Family Medicine Physician
- Aurora, CO
- NPI 1871109546
-
- Urology Physician
- Lakewood, CO
- NPI 1942165626
-
- Cardiovascular Disease Physician
- Glenwood Springs, CO
- NPI 1437271285
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Carbondale, CO
- NPI 1457235202
-
- Gastroenterology Physician
- Silt, CO
- NPI 1508464744
-
- Internal Medicine Physician
- Maumee, OH
- NPI 1245270602
Internal Medicine
-
- Emergency Medicine Physician
- Toledo, OH
- NPI 1407992902
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.