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

Dylan Richard Moore, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1730702580

Dylan Richard Moore, MD is a Family Practice in Colorado Springs, Colorado. Graduated from Indiana University School of Medicine in 2020, 6 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
6
Trained at
Indiana University School of Medicine
Licensed in
CO
In the registry since
2020
Specialties on file
2
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.

Colorado Springs, CO
Fax: (719) 364-9761

Additional practice locations (2)

  • 350 Printers Pkwy, Colorado Springs, CO 80910-3190 — (719) 632-5700
  • 111 6th St, Hugo, CO 80821-2002 — (719) 743-2421

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DR.0066979 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CO)

Record details

NPI number1730702580
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 27, 2020
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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