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

Dr. Patrick Jerrell Moore, MD

Individual provider Hematology & Oncology Physician · NPI 1639525371

Dr. Patrick Jerrell Moore, MD is a Hematology/Oncology in Stanford, California. Qualified in 2015, 11 years ago. Practices with Riverside Health System, a 205-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Illinois.

Years since qualifying
11
Licensed in
AZ, IL
In the registry since
2016
Specialties on file
4
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

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 736-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2375 S Ridgeview Dr, Yuma, AZ 85364-8868 — (928) 317-2518

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 036150357 (IL)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence 78530 (AZ)
Hospitalist Physician Taxonomy 208M00000X · Licence 036.150357 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036.150357 (IL)

Record details

NPI number1639525371
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2016
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

Medicare enrollment

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

Medicare specialtyHEMATOLOGY/ONCOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Riverside Health System — 205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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