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

Ryan A Moore, MD

Individual provider Family Medicine Physician · NPI 1386664654

Ryan A Moore, MD is a Family Practice in Boise, Idaho. Graduated from Loma Linda University School of Medicine in 2006, 20 years ago. Practices with Alliance Medical Group LLC, a 130-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
20
Trained at
Loma Linda University School of Medicine
Licensed in
ID
In the registry since
2006
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

11197 W Fairview Ave
Boise, ID 83713-7935
Phone: (208) 378-8011
Fax: (208) 322-8095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-10137 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence MR-0869 (ID)

Record details

NPI number1386664654
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESSeptember 23, 2014

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Alliance Medical Group Llc — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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