Active NPI
Nima Moghaddas, DPM
- Primary Podiatric Medicine Podiatrist
- Calais, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- POD1001
- Practice address
- 37 Palmer St
Suite 3
Calais, ME 04619-1305 - Phone
- (207) 454-8195
- Fax
- (207) 454-3840
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | POD1001 | ME | Primary |
Addresses
Primary practice location
37 Palmer St
Suite 3
Calais, ME 04619-1305
Mailing address
37 Palmer St
Suite 3
Calais, ME 04619-1305
Phone (207) 454-8195
Other practice location 1
136 Mill St
Princeton, ME 04668-3344
Phone (207) 796-5033
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235700099 | Medicaid | ME | |
| POD1001 | Other | ME | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1993
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
136 Mill St
Princeton, ME 04668-3344
Phone (207) 796-5503
15 Palmer St
Calais, ME 04619-1305
24 Hospital Lane
Calais, ME 04619-1305
30 Boynton St
Eastport, ME 04631-1306
Phone 2078536001141
37 Palmer St
Calais, ME 04619-1305
Phone (207) 454-8195
43 Palmer St
Calais, ME 04619-1305
5 Lowell St
Suite 4
Calais, ME 04619-1712
Phone (207) 796-5503
Hospital & facility affiliations
- Calais Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD1001 | ME | MD | Primary Podiatric Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calais Community Hospital | Current | Accepting new patients | |
| St Croix Regional Family Health Center | Current | Accepting new patients | |
| Calais Community Hospital | Current | Accepting new patients | |
| St Croix Regional Family Health Center | Current | Accepting new patients | |
| Calais Community Hospital | Current | Accepting new patients | |
| Calais Community Hospital | Current | Accepting new patients | |
| Calais Regional Hospital | Past | Accepting new patients |
Locations
37 Palmer St
Calais, ME 04619
Phone (207) 454-3307
24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213
37 Palmer St
Ste 3
Calais, ME 04619
Phone (207) 454-8195
43 Palmer St
Ste 2
Calais, ME 04619
Phone (207) 454-8233
30 Boynton St
Eastport, ME 04631
Phone (207) 853-6001
136 Mill St
Princeton, ME 04668
Phone (207) 796-5033
Interoperability endpoints
- nima.moghaddas.1@8356.direct.athenahealth.com
- https://fhir4.healow.com/fhir/r4/BCGABA
- https://api.platform.athenahealth.com/8356/brand/1/csg/1/fhir/r4
- https://fhir-usa.unify.chbase.com/org/calais-879327e9
Organizations & group practices 8
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.
-
- Rural Health Clinic/Center
- Calais, ME
- NPI 1134200702
-
- Federally Qualified Health Center (FQHC)
- Princeton, ME
- NPI 1831174614
-
- Federally Qualified Health Center (FQHC)
- Eastport, ME
- NPI 1093752917
-
- Critical Access Hospital
- Calais, ME
- NPI 1922001049
-
- Medicare Defined Swing Bed Hospital Unit
- Calais, ME
- NPI 1376546143
-
- Rural Health Clinic/Center
- Baileyville, ME
- NPI 1467205112
-
- Federally Qualified Health Center (FQHC)
- Calais, ME
- NPI 1083379655
-
- Internal Medicine Physician
- Calais, ME
- NPI 1013332584
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Calais, ME
- NPI 1922001049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1376625426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 PALMER ST",
"address_2": "SUITE 3",
"city": "CALAIS",
"state": "ME",
"postal_code": "046191305",
"telephone_number": "207-454-8195",
"fax_number": "207-454-3840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 PALMER ST",
"address_2": "SUITE 3",
"city": "CALAIS",
"state": "ME",
"postal_code": "046191305",
"telephone_number": "207-454-8195",
"fax_number": "207-454-3840"
}
],
"practiceLocations": [
{
"address_1": "136 Mill St",
"address_purpose": "LOCATION",
"city": "Princeton",
"state": "ME",
"postal_code": "046683344",
"country_code": "US",
"telephone_number": "207-796-5033",
"fax_number": "207-796-5528",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOGHADDAS",
"first_name": "NIMA",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "ME",
"license": "POD1001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "235700099",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "POD1001",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Calais, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.