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

Edward B Moore Jr.

Individual provider Internal Medicine Physician · NPI 1578803649

Edward B Moore Jr. practises Internal Medicine in Philadelphia, Pennsylvania. Graduated from Philadelphia College of Osteopathic Medicine in 2013, 13 years ago. Practices with St Lukes Physician Group Inc, a 2,127-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
13
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
PA
In the registry since
2013
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Practice location Address checks out

4190 City Ave
Philadelphia, PA 19131-1626
Phone: (302) 373-7478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence OS018101 (PA)

Record details

NPI number1578803649
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 26, 2013
Last updated in NPPESFebruary 2, 2018

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2013 (13 years in practice)
Group practice St Lukes Physician Group Inc — 2127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients141
Services billed 343 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at St Lukes Physician Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2127 clinicians in the practice; 12 are shown here.

Other providers in Philadelphia