Evan Moore, M.D.
NPI 1205053063 · Emergency Medicine Physician · Salt Lake City, UT
Enrolled with Medicare as Practitioner - Critical Care (intensivists) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Evan Moore, M.D. is a Emergency Medicine Physician provider in Salt Lake City, UT (NPI 1205053063).
Provider details
- NPI number
- 1205053063
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 7372509-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-20
- Last updated
- 2021-09-14
- Certified
- 2021-09-14
Frequently asked questions
- What is Evan Moore's NPI number?
- Evan Moore's National Provider Identifier (NPI) is 1205053063, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Evan Moore's specialty?
- Evan Moore is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Evan Moore located?
- Evan Moore's practice location on file with NPPES is 5121 S Cottonwood St, Salt Lake City, UT 84107-5701.
- What is Evan Moore's phone number?
- The practice phone number listed in the NPPES registry for Evan Moore is (801) 910-3595.
- Does Evan Moore accept Medicare?
- Evan Moore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Evan Moore's NPI active?
- Yes — Evan Moore's NPI (1205053063) is active in the NPPES registry as of the last update on 2021-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.