Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin J. Moody, MD

Individual provider Emergency Medicine Physician · NPI 1528696358

Benjamin J. Moody, MD is an Emergency Medicine in Salt Lake City, Utah. Qualified in 2020, 6 years ago. Practices with Northwest Emergency Physicians LLC, a 262-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Licensed in
UT
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

30 N 1900 E # 1C026
Salt Lake City, UT 84132-0002
Phone: (801) 581-2417
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 12407597-1205 (UT)

Record details

NPI number1528696358
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2020
Last updated in NPPESSeptember 15, 2021
Certification dateSeptember 15, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Northwest Emergency Physicians Llc — 262 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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