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

Dr. Nicholas Simon Alexander Moore, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255066031

Dr. Nicholas Simon Alexander Moore, MD is a Pulmonary Disease in Salt Lake City, Utah. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in Montana and Utah.

Years since qualifying
4
Licensed in
MT, UT
In the registry since
2022
Specialties on file
3
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Salt Lake City, UT

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 801 N 29th St, Billings, MT 59101-0905 — (406) 238-2500

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence MED-PHYS-LIC-166632 (MT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MED-RES-LIC-113361 (MT)
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X · Licence 14209922-1205 (UT)

Record details

NPI number1255066031
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 18, 2022
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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