Individual provider Active NPI

Dan H Moezzi, MD

  • Family Medicine Physician
  • Alamogordo, NM
National Provider Identifier
1275699357
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
95-302 Issued in NM
Practice address
2474 Indian Wells Rd
Alamogordo, NM 88310-3831
Phone
(505) 443-0339
Fax
(505) 434-5624
NPI assigned
Dec 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 95-302 NM Primary

Addresses

Primary practice location

2474 Indian Wells Rd
Alamogordo, NM 88310-3831

Mailing address

2474 Indian Wells Rd
Alamogordo, NM 88310-3831
Phone (505) 443-0339

Other identifiers 1

IdentifierTypeStateIssuer
H1455MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20090106000248 NM Practitioner - Family Practice 2567566557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dan Moezzi MD PCGroup PAC ID 6103920194, 3 clinicians

Practice addresses (Care Compare)

2474 Indian Wells Rd
Alamogordo, NM 88310-3831
Phone (505) 443-0339

2474 Indian Wells Rd
Suite a
Alamogordo, NM 88310-3845

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
98.64
Improvement activities
40
Cost
71.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95-302NMMDFamily Medicine Physician
6769NMMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dan Moezzi MD PC CurrentSince Jan 4, 1999 Accepting new patients

Locations

2474 Indian Wells Rd
Ste A
Alamogordo, NM 88310
Phone (505) 747-0506

2474 Indian Wells Rd
Alamogordo, NM 88310
Phone (505) 443-0339

Organizations & group practices 1

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": "1167523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1275699357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2474 INDIAN WELLS RD",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883103831",
            "telephone_number": "505-443-0339",
            "fax_number": "505-434-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2474 INDIAN WELLS RD",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883103831",
            "telephone_number": "505-443-0339",
            "fax_number": "505-434-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEZZI",
        "first_name": "DAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-31",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "95-302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H1455",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

Verify at the official NPI Registry.