Samia Sana Moizuddin, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

24363 Issued in AL

Practice address

1090 Highway 78 E
Jasper, AL 35501-3959

Phone

(205) 387-9787

Fax

(205) 387-9952

NPI assigned

Jul 23, 2006

Last updated

Jun 15, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Internal MedicineAlso: Pain Management

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Walker Baptist Medical Center Hospital, Jasper, AL, CCN 010089

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FBHCBA
• FHIR API: https://fhir4.healow.com/fhir/r4/FBHCBA/Endpoint/FBHCBA

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.

• Rehab and Wellness LLC

  • Health Service Clinic/Center
  • Jasper, AL
  • NPI 1689054645
  Medicare reassignment NPD
• Rehab and Wellness Clinic, LLC

  • Pain Medicine Physician
  • Sylacauga, AL
  • NPI 1043870231
  NPD (past) Authorized official
• Rehab and Wellness Clinic, LLC

  • Pain Medicine Physician
  • Talladega, AL
  • NPI 1235799404
  NPD (past) Authorized official
• Rehab and Wellness LLC

  dba Rehab and Wellness Clinic LLC

  • Pain Medicine Physician
  • Lincoln, AL
  • NPI 1952026924
  NPD (past) Authorized official
• Quality of Life Health Services, Inc

  dba Calhoun Quality Health Care

  • Federally Qualified Health Center (FQHC)
  • Anniston, AL
  • NPI 1013339209
  NPD
• Quality of Life Health Services, Inc

  dba Cullman Quality Health Care

  • Community Health Clinic/Center
  • Cullman, AL
  • NPI 1467402768
  NPD

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

• BBH WBMC, LLC

  dba Baptist Health Walker Hospital

  • General Acute Care Hospital
  • Jasper, AL
  • NPI 1932553385
  Care Compare affiliation

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1265453120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355013959",
            "telephone_number": "205-387-9787",
            "fax_number": "205-387-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355013959",
            "telephone_number": "205-387-9787",
            "fax_number": "205-387-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOIZUDDIN",
        "first_name": "SAMIA",
        "middle_name": "SANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "24363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "051504982",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529900540",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonya L Mink, CRNP
• Minnie's Ride Transportation (Minnie's Ride Transportation, LLC)
• Khurram Mirza
• Lynn Marie Mishkel, MD
• Carly Allison Mitchell, MS, CCC-SLP
• James Owen Moon, M.D.
• Blakeney Moore, PHARM.D
• Stephanie Moore, MS
• Daniel Jason Morris, D.O.
• Wendy Morrison

• Internal Medicine Physician in Jasper, AL
• Providers in Jasper, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.

Verify at the official NPI Registry.