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

Jose Ildefonso Rodriguez Moreno, MD

Individual provider Neurology with Special Qualifications in Child Neurology Physician · NPI 1891148854

Jose Ildefonso Rodriguez Moreno, MD is a Neurology in Medford, Oregon. Qualified in 2014, 12 years ago. Practices with Lgh Medical Group, Inc, a 163-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Oregon.

Years since qualifying
12
Licensed in
MA, OR
In the registry since
2016
Specialties on file
2
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

2900 State St Ste 101
Medford, OR 97504-8458
Phone: (541) 789-5790
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 800 Washington St, Boston, MA 02111-1552 — (617) 636-5848
  • 41 Mall Rd, Burlington, MA 01805-3700 — (781) 353-8167

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence MD202077 (OR)
Neurology with Special Qualifications in Child Neurology Physician Taxonomy 2084N0402X · Licence 267707 (MA)

Record details

NPI number1891148854
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 14, 2016
Last updated in NPPESJuly 14, 2021
Certification dateJuly 14, 2021

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Lgh Medical Group, Inc. — 163 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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