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

Individual provider Diagnostic Radiology Physician · NPI 1417905092

Nicholas J.e. Moore, MD is a Diagnostic Radiology in Colorado Springs, Colorado. Qualified in 2000, 26 years ago. Practices with Community Health Association, a 68-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
26
Licensed in
CO
In the registry since
2006
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

1390 Kelly Johnson Blvd
Colorado Springs, CO 80920-3908
Phone: (719) 593-1799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 48664 (CO)

Record details

NPI number1417905092
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 5, 2006
Last updated in NPPESMarch 7, 2023

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Community Health Association — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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