Individual provider Active NPI

Kiumars Movassaghi, MEDICAL DOCTOR

  • Specialist
  • Eugene, OR
National Provider Identifier
1306841275
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
330 S Garden Way Ste 100
Eugene, OR 97401-8177
Phone
(541) 686-8700
Fax
(541) 686-9004
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

330 S Garden Way Ste 100
Eugene, OR 97401-8177

Mailing address

330 S Garden Way Ste 100
Eugene, OR 97401-8177
Phone (541) 686-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20040510000274 OR Practitioner - Plastic and Reconstructive Surgery 4789673377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Harvard Medical School, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

330 S Garden Way
Suite 100
Eugene, OR 97401-8177
Phone (541) 686-8700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kiya Movassaghi MD. P.C. Specialist CurrentSince Aug 5, 2002 Accepting new patients

Locations

330 S Garden Way
Ste 100
Eugene, OR 97401
Phone (541) 686-8700

Interoperability endpoints

  • Direct secure messaging: kmovassa@yourcarecommunity.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1306841275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S GARDEN WAY STE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018177",
            "telephone_number": "541-686-8700",
            "fax_number": "541-686-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S GARDEN WAY STE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018177",
            "telephone_number": "541-686-8700",
            "fax_number": "541-686-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOVASSAGHI",
        "first_name": "KIUMARS",
        "name_prefix": "Dr.",
        "credential": "MEDICAL DOCTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.