Individual provider Active NPI

Mohammed Moizuddin, MD

  • Pulmonary Disease Physician
  • Denison, TX
National Provider Identifier
1083722292
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
R7825 Issued in TX
Practice address
5012 S US Highway 75 Ste 205
Denison, TX 75020-4635
Phone
(972) 674-9910
Fax
(972) 666-5959
NPI assigned
Aug 28, 2006
Last updated
Dec 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 48038 WI
Pulmonary Disease Physician 207RP1001X R7825 TX Primary
Pulmonary Disease Physician 207RP1001X MD200298 LA
Pulmonary Disease Physician 207RP1001X TP061 KY
Sleep Medicine (Internal Medicine) Physician 207RS0012X TP061 KY

Addresses

Primary practice location

5012 S US Highway 75 Ste 205
Denison, TX 75020-4635

Mailing address

1022 Kenilworth St
Allen, TX 75013-5828
Phone (972) 674-9910

Other identifiers 1

IdentifierTypeStateIssuer
405865301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20181108000323 TX Practitioner - Pulmonary Disease 7719919885 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pelican Medical Specialists PLLCGroup PAC ID 7618206939, 2 clinicians

Practice addresses (Care Compare)

931 State Hwy 121
BLDG 1
Allen, TX 75013-1180
Phone (972) 647-9910

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
66.53 of 100Reported as individual
Quality
90.67
Improvement activities
0
Cost
78.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD200298LAMDPulmonary Disease Physician
R7825TXMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arshad Khalil MD PA Internal Medicine CurrentSince Sep 25, 2018 Accepting new patients
Pelican Medical Specialists PLLC CurrentSince Aug 2, 2018 Accepting new patients
Khan Healthcare Services PLLC Past Accepting new patients

Locations

931 State Highway 121
Bldg 1
Allen, TX 75013
Phone (972) 647-9910

5012 US Highway 75
Ste 120
Denison, TX 75020
Phone (903) 416-5300

5012 US Highway 75
Ste 205
Denison, TX 75020
Phone (903) 651-5023

321 N Highland Ave
Ste 105
Sherman, TX 75092
Phone (903) 347-0001

Organizations & group practices 3

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

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1083722292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 KENILWORTH ST",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135828",
            "telephone_number": "972-674-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75 STE 205",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204635",
            "telephone_number": "972-674-9910",
            "fax_number": "972-666-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOIZUDDIN",
        "first_name": "MOHAMMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "48038",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "R7825",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "MD200298",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "TP061",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "KY",
            "license": "TP061",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405865301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.