Individual provider Active NPI

Jason R Moore, M.D.

  • Vascular Surgery Physician
  • Rockingham, VA
National Provider Identifier
1023037348
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
0101258172 Issued in VA
Practice address
2006 Health Campus Dr
Rockingham, VA 22801-8679
Phone
(540) 689-5800
Fax
(757) 431-7136
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2011-01858 NC
Surgery Physician 208600000X 29136 SC
Vascular Surgery Physician 2086S0129X 0101258172 VA Primary

Addresses

Primary practice location

2006 Health Campus Dr
Rockingham, VA 22801-8679

Mailing address

PO Box 1430
Harrisonburg, VA 22803-1430
Phone (540) 689-5800

Other practice location 1

595 Martha Jefferson Dr Ste 270
Charlottesville, VA 22911-4669
Phone (434) 654-1700

Other identifiers 1

IdentifierTypeStateIssuer
1023037348MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150925002495 VA Practitioner - Vascular SurgeryPractitioner - General Surgery 9032427950 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Mercer University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RMH Medical Group LLCGroup PAC ID 7618270729, 254 clinicians
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Practice addresses (Care Compare)

2006 Health Campus Dr
Suite 300
Rockingham, VA 22801-8679
Phone (540) 689-5400

70 Medical Ctr Cir
Suite 213
Fishersville, VA 22939-2273
Phone (540) 245-7705

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)30
Removal of tissue12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2011-01858NCMDSurgery Physician
29136SCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RMH Medical Group LLC CurrentSince Jan 1, 2016 Accepting new patients
Augusta Medical Group CurrentSince Dec 10, 2021 Accepting new patients
Martha Jefferson Medical Group LLC Surgery CurrentSince Dec 30, 2022 Accepting new patients
RMH Medical Group LLC CurrentSince Jan 1, 2016 Accepting new patients
Augusta Medical Group CurrentSince Dec 10, 2021 Accepting new patients
Martha Jefferson Hospital PastSince Dec 30, 2022 Accepting new patients
Rockingham Memorial Hospital Past Accepting new patients

Locations

540 Radford Ln
Ste 250
Charlottesville, VA 22903
Phone (434) 823-7596

595 Martha Jefferson Dr
Ste 270
Charlottesville, VA 22911
Phone (434) 654-1700

1646 Park Ridge Dr
Crozet, VA 22932
Phone (434) 654-2760

78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

70 Medical Center Cir
Ste 213
Fishersville, VA 22939
Phone (540) 245-7705

644 University Blvd
Harrisonburg, VA 22801
Phone (540) 564-5100

1931 Medical Ave
Harrisonburg, VA 22801
Phone (540) 564-5400

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

30 Greenhouse Rd
Lexington, VA 24450
Phone (540) 464-3465

2006 Health Campus Dr
#H
Rockingham, VA 22801
Phone (540) 689-5555

2010 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-1000

2006 Health Campus Dr
Ste 300
Rockingham, VA 22801
Phone (540) 689-5400

2006 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-5800

Interoperability endpoints

  • Direct secure messaging: jmoore221374@direct.sentara.net
  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1023037348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1430",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228031430",
            "telephone_number": "540-689-5800",
            "fax_number": "757-431-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 HEALTH CAMPUS DR",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228018679",
            "telephone_number": "540-689-5800",
            "fax_number": "757-431-7136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 Martha Jefferson Dr Ste 270",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229114669",
            "country_code": "US",
            "telephone_number": "434-654-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JASON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2011-01858",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "29136",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101258172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023037348",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, VA

Sources for this page

Verify at the official NPI Registry.