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

Kody A Moffatt, MD

Individual provider Pediatric Sports Medicine Physician · NPI 1124139043

Kody A Moffatt, MD is a Pediatric Sports Medicine Physician in Elkhorn, Nebraska. Licensed in Nebraska. Registered with an NPI since 2006.

Licensed in
NE
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

20502 Roosevelt St
Elkhorn, NE 68022-4148
Phone: (402) 955-7529
Fax: (402) 955-6529
Show map & directions

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

Specialties & licences

Pediatric Sports Medicine Physician (primary) Taxonomy 2080S0010X · Licence 21839 (NE)

Record details

NPI number1124139043
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing address2500 California Plz, Omaha, NE 68178-0001