DR. JEFFREY LEE MOORE JR. D.O.
NPI 1174779326
Anesthesiology in Portsmouth, VA

Q: What is Jeffrey Moore's NPI number?

The NPI number for Jeffrey Moore is 1174779326. It was assigned to this individual provider in the NPPES registry on August 7, 2008.

Q: What is Jeffrey Moore's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Moore was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 07, 2008PECOS EnrolledAccepts Medicare Assignment

620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708(757) 953-3270 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 23, 2024, Dec 7, 2022, Jul 5, 2018 (3 updates tracked since 2018).

On this page

About Dr. Jeffrey Lee Moore Jr. D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY LEE MOORE JR. D.O. (NPI 1174779326) is an individual anesthesiology provider in Portsmouth, Virginia, licensed in Alabama (DO1097) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Sentara Obici Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1174779326

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameDR. JEFFREY LEE MOORE JR.Credential: D.O.

Location Address620 JOHN PAUL JONES CIRPortsmouth, VA 23708

Mailing Address620 John Paul Jones CirPortsmouth, VA 23708-2111

Phone(757) 953-3270

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateAugust 7, 2008

Last NPPES UpdateApril 23, 20243 updates tracked since enumeration

NPPES CertifiedApril 23, 2024

✔ NPI 1174779326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in AL · DO1097

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedMilitary Health Care ProviderTaxonomy 171000000X

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License DO1097 (AL)

620 JOHN PAUL JONES CIR, Portsmouth, VA 23708

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeffrey Lee Moore Jr. D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123209152

PECOS Enrollment IDI20230323001529

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Smg Anesthesia Specialists LLC

15 mi

Anesthesiology

2025 GLENN MITCHELL DR
Virginia Beach, VA 23456

Reassigned Medicare billing, Virginia enrollment
707 clinicians in this Medicare group

NPI 1518205004 (757) 507-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sentara Obici Hospital

Acute Care Hospitals · Suffolk, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490044

Location2800 Godwin BoulevardSuffolk, VA 23439 · Suffolk City County

Emergency services Birthing friendly

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490057

Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County

Emergency services

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490093

Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County

Emergency services Birthing friendly

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490119

Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County

Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEREDITH TVERDOSI CRNA

Nurse Anesthetist, Certified Registered

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-3238

ERIC FRANCIS SULAVA

Emergency Medicine

620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-0669

MRS. TIFFNY KUPER RHH

Dental Hygienist

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-2711

DR. LAKEISHA GOODE PHARMD

Pharmacist

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-7462

JASMINE WOOD MD

Surgery

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-1895

NICHOLAS FANSELOW

General Practice

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-0669

DR. DAVID JESSEN MD

Military Health Care Provider

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-2518

DR. DANIEL VERNON UNGER M.D.

Orthopaedic Surgery

620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-1888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Moore's NPI number?

The NPI number for Jeffrey Moore is 1174779326. It was assigned to this individual provider in the NPPES registry on August 7, 2008.

Where is Jeffrey Moore located?

Jeffrey Moore practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (757) 953-3270.

What is Jeffrey Moore's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jeffrey Moore enrolled in Medicare?

Yes. Jeffrey Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jeffrey Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Moore reassigns Medicare benefits to Smg Anesthesia Specialists LLC (Virginia Beach, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jeffrey Moore affiliated with any hospitals?

According to CMS data, Jeffrey Moore is affiliated with Sentara Obici Hospital, Sentara Virginia Beach General Hospital, Sentara Careplex Hospital and Sentara Princess Anne Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Moore was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.