NATHANIEL MOORE (DO) – Emergency Medicine Physician, NPI 1164816500

NATHANIEL MOORE (DO) is a healthcare provider. based in Westminster, Colorado. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 0102205155 (VA). The NPI Number for NATHANIEL MOORE (DO) is 1164816500

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
NATHANIEL MOORE (DO)
NPI
1164816500
Phone
(303) 917-4691
Address
4140 SHAW BLVD
Enumeration Date
24 March 2015
Last Update Date
21 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9282832094
Graduation Year
2015 (11 years ago)
PAC ID
8820305758
Group Practice PAC ID
4284542531
Professional Enrollment ID
I20200529001394
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,497 EMERGENCY MEDICINE in VA

Provider Addresses for NATHANIEL MOORE (DO)

  • 4140 SHAW BLVD

    WESTMINSTER, CO 800316918

    Phone: (303) 917-4691

    Type: Mailing

  • 1 HEALTH CIR

    LEXINGTON, VA 244502448

    Phone: (540) 458-3300

    Type: Location

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: 2019-08-26

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
I20190826001489IEmergency MedicineWYTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making319304$0
99284Emergency department visit with moderate level of medical decision making144140$0
99291Critical care, first 30-74 minutes3737$0
99283Emergency department visit with low level of medical decision making2727$0
View full utilization report →

Insurance plans in this area (ZIP 80031)

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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: 4284542531View full group profile
NameSpecialtyState
Diagnostic RadiologyNM
-CA
Physician AssistantFL
Nurse PractitionerAZ
O P T O M E T R YTX
-AZ
Family PracticeAZ
-NY
-AZ
O B S T E T R I C S/ G Y N E C O L O G YAZ

Reviews

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Frequently asked questions

What NPI should I save for NATHANIEL MOORE (DO)?
Save NPI 1164816500 if you need a stable reference for NATHANIEL MOORE (DO).
Is NATHANIEL MOORE (DO)'s NPI currently valid?
The extract we use shows NATHANIEL MOORE (DO) as active.
What does NATHANIEL MOORE (DO) treat or focus on?
Patients typically see NATHANIEL MOORE (DO) under the specialty Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place NATHANIEL MOORE (DO)?
The snapshot lists Westminster, Colorado for NATHANIEL MOORE (DO); download NPPES for the complete set.
How can I contact NATHANIEL MOORE (DO)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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