ELLEN MOORE (MD) – Obstetrics & Gynecology Physician, NPI 1013599588

ELLEN MOORE (MD) is a healthcare provider. based in Aurora, Colorado. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. DR.0075678 (CO). The NPI Number for ELLEN MOORE (MD) is 1013599588

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ELLEN MOORE (MD)
NPI
1013599588
Phone
Not provided
Address
12631 E 17TH AVE FL 4
Enumeration Date
24 April 2021
Last Update Date
1 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
3033212166
Graduation Year
2021 (5 years ago)
PAC ID
8224426309
Group Practice PAC ID
4587759972
Professional Enrollment ID
I20250828003874
Address ID
CO802204042DE4600XAVEX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

824 OBSTETRICS/GYNECOLOGY in CO

Provider Addresses for ELLEN MOORE (MD)

  • 12631 E 17TH AVE FL 4

    AURORA, CO 800452527

    Phone:

    Type: Mailing

  • 4600 E 9TH AVE STE 350

    DENVER, CO 802204069

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250828003874IObstetrics/GynecologyCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80045)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587759972View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCO
O B S T E T R I C S/ G Y N E C O L O G YCO
Certified Nurse Midwife (Cnm)CO
O B S T E T R I C S/ G Y N E C O L O G YUT
Nurse PractitionerCO
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerCO
O B S T E T R I C S/ G Y N E C O L O G YCO
O B S T E T R I C S/ G Y N E C O L O G YCO
O B S T E T R I C S/ G Y N E C O L O G YCO

Reviews

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Frequently asked questions

How do I look up ELLEN MOORE (MD) by NPI?
Use NPI 1013599588 when you need to reference ELLEN MOORE (MD) in forms, claims, or directories.
Is ELLEN MOORE (MD) active in the national directory?
ELLEN MOORE (MD)'s public NPI profile is in an active state.
Does ELLEN MOORE (MD) list a primary specialty?
If you are matching referrals, note Obstetrics & Gynecology Physician for ELLEN MOORE (MD). Clinical services aligned with this taxonomy classification.
Where does public data place ELLEN MOORE (MD)?
The snapshot lists Aurora, Colorado for ELLEN MOORE (MD); download NPPES for the complete set.
Is ELLEN MOORE (MD) a real provider?
This page reflects official NPPES data for NPI 1013599588. Always confirm identity and privileges with the practice and licensing boards.

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