Individual provider Active NPI

Nima Moghaddas, DPM

  • Primary Podiatric Medicine Podiatrist
  • Calais, ME
National Provider Identifier
1376625426
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
POD1001 Issued in ME
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

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
235700099MedicaidME
POD1001OtherMESTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050725000333 ME Practitioner - Podiatry 8022045756 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Group practices
St Croix Regional Family Health CenterGroup PAC ID 3577524024, 21 clinicians
Calais Regional HospitalGroup PAC ID 6901715176, 6 clinicians
Eastport Health Care, IncGroup PAC ID 3577592880, 12 clinicians

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 Hospital, Calais, ME, CCN 201305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD1001MEMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Calais Community Hospital CurrentSince Nov 26, 2023 Accepting new patients
St Croix Regional Family Health Center CurrentSince Mar 1, 2025 Accepting new patients
Calais Community Hospital CurrentSince Jul 13, 2015 Accepting new patients
St Croix Regional Family Health Center CurrentSince Mar 1, 2025 Accepting new patients
Calais Community Hospital CurrentSince Aug 31, 2025 Accepting new patients
Calais Community Hospital CurrentSince Jul 13, 2015 Accepting new patients
Calais Regional Hospital PastSince Mar 1, 2014 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

  • Direct secure messaging: nima.moghaddas.1@8356.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BCGABA
  • FHIR API: https://api.platform.athenahealth.com/8356/brand/1/csg/1/fhir/r4
  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.