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

Dr. Perounsack X Moon, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043770241

Dr. Perounsack X Moon, DO is a Hospitalist in Norfolk, Virginia. Graduated from Philadelphia Col of Osteo Med, Sewanee in 2019, 7 years ago. Practices with Bayview Physician Services PC, a 310-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
7
Trained at
Philadelphia Col of Osteo Med, Sewanee
Licensed in
VA
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

830 Kempsville Rd
Norfolk, VA 23502-3920
Phone: (757) 967-8622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 0102207120 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043770241
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 22, 2019
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024
Mailing address3241 Western Branch Blvd, Chesapeake, VA 23321-5260

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolPHILADELPHIA COL OF OSTEO MED, SEWANEE
Graduated 2019 (7 years in practice)
Group practice Bayview Physician Services Pc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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