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KODY A MOFFATT M.D.
NPI 1124139043
Pediatrics - Sports Medicine in Elkhorn, NE

Active since August 31, 2006
20502 ROOSEVELT ST, ELKHORN, NE 68022(402) 955-7529(402) 955-6529 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kody A Moffatt M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KODY A MOFFATT M.D. (NPI 1124139043) is an individual sports medicine provider in Elkhorn, Nebraska, licensed in Nebraska (21839) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1124139043
Entity TypeIndividualMale
Primary Taxonomy2080S0010X
Provider Legal NameKODY A MOFFATTCredential: M.D.
Location Address20502 ROOSEVELT STElkhorn, NE 68022-4148
Mailing Address2500 California PlzOmaha, NE 68178-0001
Phone(402) 955-7529
Fax(402) 955-6529
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateNovember 25, 2025
NPPES CertifiedNovember 25, 2025
✔ NPI 1124139043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080S0010X
License✔ Licensed in NE · 21839
Definition
A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
20502 ROOSEVELT ST, Elkhorn, NE 68022
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON R OCEL AUD
Audiologist-Hearing Aid Fitter
20502 ROOSEVELT ST
ELKHORN, NE 68022
Douglas County (402) 955-3981
MIRELLA A GATTERDAM DPT
Physical Therapist (Pediatrics)
20502 ROOSEVELT ST
ELKHORN, NE 68022
Douglas County (402) 955-8000
ABIGAIL REBECCA SQUIRE
Occupational Therapist (Pediatrics)
20502 ROOSEVELT ST
ELKHORN, NE 68022
Douglas County (402) 955-6319
DR. BENJAMIN AARON FUGITT PT, DPT, CSCS
Physical Therapist (Sports)
20502 ROOSEVELT ST
ELKHORN, NE 68022
Douglas County (402) 955-8181
DR. JUSTIN L BLATCHFORD PT
Physical Therapist (Pediatrics)
20502 ROOSEVELT ST
ELKHORN, NE 68022
Douglas County (402) 955-8181
JULIE M THORNTON AUD
Audiologist-Hearing Aid Fitter
20502 ROOSEVELT ST
ELKHORN, NE 68022
Douglas County (402) 955-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kody Moffatt's NPI number?

The NPI number for Kody Moffatt is 1124139043. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Kody Moffatt located?

Kody Moffatt practices at 20502 Roosevelt St, Elkhorn, NE 68022. The listed phone number is (402) 955-7529.

What is Kody Moffatt's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

What insurance does Kody Moffatt accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list Kody Moffatt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kody Moffatt was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.