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

Jeffrey Ryan Moore

Individual provider Internal Medicine Physician · NPI 1285907055

Jeffrey Ryan Moore is an Internal Medicine in Portsmouth, Virginia. Graduated from East Tennessee State University Quillen College of Medicine in 2012, 14 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
14
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
VA
In the registry since
2012
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Practice location Address checks out

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone: (757) 953-3149
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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 0101254499 (VA)

Record details

NPI number1285907055
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 9, 2012
Last updated in NPPESApril 16, 2016
Mailing addressNaval Hospital Twentynine Palms, 1145 Sturgis Rd, Twentynine Palms, CA 92278

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Portsmouth