JOHN WILLIAM MOORE D.O.
NPI 1235163668
Family Medicine in Chincoteague Island, VA
About John William Moore D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN WILLIAM MOORE D.O. (NPI 1235163668) is an individual family medicine provider in Chincoteague Island, Virginia, licensed in North Carolina (9801401) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Southport.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John William Moore D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23336 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHINCOTEAGUE ISLAND, VA 23336
CHINCOTEAGUE, VA 23336
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 John Moore's NPI number?
The NPI number for John Moore is 1235163668. It was assigned to this individual provider in the NPPES registry on July 10, 2006.
Where is John Moore located?
John Moore practices at 4049 Main St, Chincoteague Island, VA 23336. The listed phone number is (757) 336-3682.
What is John Moore's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Moore enrolled in Medicare?
Yes. John Moore is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for John Moore was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# John William Moore, D.O. · NPI 1235163668
Family Medicine physician in Chincoteague Island, Virginia. Individual provider, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1235163668 (Entity type: Individual)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 9801401 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 4049 MAIN ST, Chincoteague Island, VA 23336-2406
- **Phone:** (757) 336-3682
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 23, 2021
- **Other identifiers:** Medicaid 891166L (NC); Other 1166L (NC); Medicaid 343893A (NC)
---
Source: [NPI Profile](https://npiprofile.com/npi/1235163668) · Data from the CMS NPPES public registry.