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

Michael T Moore, PA

Individual provider Medical Physician Assistant · NPI 1750858916

Michael T Moore, PA is a Physician Assistant in Aurora, Colorado. Qualified in 2018, 8 years ago. Practices with University Physicians Incorporated, a 3,148-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Connecticut.

Years since qualifying
8
Licensed in
CO, CT
In the registry since
2018
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

12605 E 16th Ave
Aurora, CO 80045-2545
Phone: (303) 724-2728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 80 Seymour Street, Hartford, CT 06102-5037 — (860) 972-2085

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA.0007220 (CO)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 004400 (CT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 004400 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1750858916
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 25, 2018
Last updated in NPPESApril 25, 2022
Certification dateApril 25, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice University Physicians Incorporated — 3148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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