Active NPI
Samaaneh Moezzi
- Physician Assistant
- Germantown, MD
National Provider Identifier
1093328387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0007612
- Practice address
- 12410 Milestone Center Drive
Suite 600
Germantown, MD 20876-7102 - Phone
- (301) 500-5841
- NPI assigned
- Aug 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0007612 | MD | Primary |
Addresses
Primary practice location
12410 Milestone Center Drive
Suite 600
Germantown, MD 20876-7102
Mailing address
12410 Milestone Center Drive
Suite 600
Germantown, MD 20876-7102
Phone (301) 500-5841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
12410 Milestone Ctr Dr
Suite 600
Germantown, MD 20876-7102
Phone (301) 500-5841
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Neta, Inc. | Past | Accepting new patients |
Interoperability endpoints
- samaaneh.moezzi.1@33593.direct.athenahealth.com
Organizations & group practices 4
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Child & Adolescent Psychiatry Physician
- Arlington, VA
- NPI 1134506520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1093328387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12410 MILESTONE CENTER DRIVE",
"address_2": "SUITE 600",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208767102",
"telephone_number": "301-500-5841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12410 MILESTONE CENTER DRIVE",
"address_2": "SUITE 600",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208767102",
"telephone_number": "301-500-5841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOEZZI",
"first_name": "SAMAANEH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-26",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0007612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.