Individual provider Active NPI

Payam Moein, M.D.

  • Neurology Physician
  • Danbury, CT
National Provider Identifier
1437535481
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
67139 Issued in CT
Practice address
79 Sand Pit Rd Ste 301
Danbury, CT 06810-4010
Phone
(203) 748-2551
NPI assigned
Jul 31, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 036177534 IL
Neurology Physician 2084N0400X 2025-04073 NC
Clinical Neurophysiology Physician 2084N0600X 75900 TN
Epilepsy Physician 2084E0001X 75900 TN
Neurology Physician 2084N0400X 349454 LA
Neurology Physician 2084N0400X 0101287471 VA
Neurology Physician 2084N0400X 110505 GA
Clinical Neurophysiology Physician 2084N0600X 0101287471 VA
Neurology Physician 2084N0400X 75900 TN
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X 67139 CT Primary
Epilepsy Physician 2084E0001X 0101287471 VA

Addresses

Primary practice location

79 Sand Pit Rd Ste 301
Danbury, CT 06810-4010

Mailing address

79 Sand Pit Rd Ste 301
Danbury, CT 06810-4010

Other practice location 1

1 Medical Dr Dept Of
Lebanon, NH 03756-1000
Phone (603) 650-5869

Other practice location 2

1501 W Elk Ave
Elizabethton, TN 37643-2874
Phone (423) 542-1300

Other practice location 3

100 15ht St NW
Norton, VA 24273-1616
Phone (276) 439-1000

Other practice location 4

2000 Brookside Dr
Kingsport, TN 37660-4627
Phone (423) 857-7000

Other practice location 5

111 Hospital Dr
Tarboro, NC 27886-2011
Phone (252) 641-7700

Other practice location 6

1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (276) 523-3111

Other practice location 7

312 Hospital Dr
Clintwood, VA 24228-6786
Phone (276) 926-0300

Other practice location 8

245 Medical Park Dr
Marion, VA 24354-1100
Phone (276) 378-1000

Other practice location 9

1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-5000

Other practice location 10

300 Med Tech Pkwy
Johnson City, TN 37604-2277
Phone (423) 302-1000

Other practice location 11

851 Locust St
Rogersville, TN 37857-2407
Phone (423) 921-7000

Other practice location 12

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

Other practice location 13

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000

Other practice location 14

400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111

Other practice location 15

15790 Paul Vega Md Dr
Hammond, LA 70403-1436
Phone (985) 345-2700

Other practice location 16

16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1000

Other practice location 17

58 Carroll St
Lebanon, VA 24266-4510
Phone (276) 883-8000

Other practice location 18

1519 Main St
Sneedville, TN 37869-3657
Phone (423) 733-5070

Other practice location 19

127 Health Care Dr
Pennington Gap, VA 24277-2853
Phone (276) 546-5212

Other practice location 20

1901 S Shady St Ste 1
Mountain City, TN 37683-2021
Phone (423) 727-1103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, IN, NY, VA, IL, TN, NJ, NC8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20210716001449 CT Practitioner - Neurology 6204167372 Reassigns benefits to 4 organizations
I20251231001235 IN Practitioner - Neurology 6204167372 Reassigns benefits to 1 organization
I20260113001529 NY Practitioner - Neurology 6204167372 Reassigns benefits to 1 organization
I20260203000282 VA Practitioner - Neurology 6204167372 Reassigns benefits to 2 organizations
I20260227000593 IL Practitioner - Neurology 6204167372 Reassigns benefits to 1 organization
I20260303003047 TN Practitioner - Neurology 6204167372 Reassigns benefits to 1 organization
I20260327003100 NJ Practitioner - Neurology 6204167372 Reassigns benefits to 1 organization
I20260518000084 NC Practitioner - Neurology 6204167372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, shared by 2 NPIs, 432 clinicians
North Oaks Medical Center LLCGroup PAC ID 2466629522, 317 clinicians
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

100 15TH St NW
Norton, VA 24273-1616
Phone (423) 630-7001

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 230-8412

1463 Finnegan LN
Unit E
North Brunswick, NJ 08902-5025
Phone (985) 230-1683

69 Sand Pit Rd
Danbury, CT 06810-4004
Phone (203) 748-2551

Hospital & facility affiliations

  • Danbury Hospital Hospital, Danbury, CT, CCN 070033
  • Norwalk Hospital Hospital, Norwalk, CT, CCN 070034

Merit-based Incentive Payment System (MIPS)

Final score
74.75 of 100Reported as group
Quality
67.52
Promoting interoperability
95
Improvement activities
20
Cost
74.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3480NHMDPharmacist
0101287471VAMDEpilepsy Physician
67139CTMDNeurology Physician
036177534ILMDNeurology Physician
349454LAMDNeurology Physician
2025-04073NCMDNeurology Physician
75900TNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming County CurrentSince Dec 1, 2025 Accepting new patients
Riverside Physician Services, Inc. Neurology CurrentSince Jan 14, 2026 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Mar 1, 2026 Accepting new patients
Centra Medical Group, LLC CurrentSince Feb 1, 2026 Accepting new patients
Nuvance Health Medical Practice CT, Inc. CurrentSince Jul 9, 2021 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Mar 1, 2026 Accepting new patients
Riverside Health System CurrentSince Feb 17, 2026 Accepting new patients
Hendricks County Hospital Neurology CurrentSince Jan 1, 2026 Accepting new patients
Hendricks County Hospital CurrentSince Jan 1, 2026 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Mar 1, 2026 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Mar 1, 2026 Accepting new patients
Danbury Hospital CurrentSince Oct 1, 2021 Accepting new patients
Wyoming County Current Accepting new patients
Riverside Physician Services Inc CurrentSince Jan 14, 2026 Accepting new patients
Danbury Hospital CurrentSince Oct 1, 2021 Accepting new patients
Wyoming County CurrentSince Dec 1, 2025 Accepting new patients
Riverside Physician Services Inc Past Accepting new patients

Locations (25 of 31)

79 Sand Pit Rd
Danbury, CT 06810
Phone (203) 749-5700

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

79 Sand Pit Rd
Ste 301
Danbury, CT 06810
Phone (203) 748-2551

70 Main St
Danbury, CT 06810
Phone (203) 739-8100

69 Sand Pit Rd
Danbury, CT 06810
Phone (203) 748-2551

20 Germantown Rd
Danbury, CT 06810
Phone (203) 739-4820

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500

8244 E US Highway 36
Ste 1340
Avon, IN 46123
Phone (317) 520-5510

100 Hospital Ln
Ste 225
Danville, IN 46122
Phone (317) 718-4730

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

1463 Finnegan Ln
Unit E
North Brunswick, NJ 08902
Phone (866) 239-1650

400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

1501 W Elk Ave
Elizabethton, TN 37643
Phone (423) 542-1300

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

300 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 302-1000

2000 Brookside Dr
Kingsport, TN 37660
Phone (423) 857-7144

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

1901 S Shady St
Ste 1
Mountain City, TN 37683
Phone (423) 727-1103

851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671

1519 Main St
Sneedville, TN 37869
Phone (423) 733-5000

16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 6

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": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1437535481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 SAND PIT RD STE 301",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 SAND PIT RD STE 301",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104010",
            "telephone_number": "203-748-2551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Dr Dept Of",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037561000",
            "country_code": "US",
            "telephone_number": "603-650-5869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 W Elk Ave",
            "address_purpose": "LOCATION",
            "city": "Elizabethton",
            "state": "TN",
            "postal_code": "376432874",
            "country_code": "US",
            "telephone_number": "423-542-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 15ht St NW",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "VA",
            "postal_code": "242731616",
            "country_code": "US",
            "telephone_number": "276-439-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Brookside Dr",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604627",
            "country_code": "US",
            "telephone_number": "423-857-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Tarboro",
            "state": "NC",
            "postal_code": "278862011",
            "country_code": "US",
            "telephone_number": "252-641-7700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1990 Holton Ave E",
            "address_purpose": "LOCATION",
            "city": "Big Stone Gap",
            "state": "VA",
            "postal_code": "242193350",
            "country_code": "US",
            "telephone_number": "276-523-3111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Clintwood",
            "state": "VA",
            "postal_code": "242286786",
            "country_code": "US",
            "telephone_number": "276-926-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243541100",
            "country_code": "US",
            "telephone_number": "276-378-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 Tusculum Blvd",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377454279",
            "country_code": "US",
            "telephone_number": "423-787-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Med Tech Pkwy",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042277",
            "country_code": "US",
            "telephone_number": "423-302-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851 Locust St",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378572407",
            "country_code": "US",
            "telephone_number": "423-921-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207430",
            "country_code": "US",
            "telephone_number": "423-844-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 W Ravine Rd",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603837",
            "country_code": "US",
            "telephone_number": "423-224-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N State of Franklin Rd",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046035",
            "country_code": "US",
            "telephone_number": "423-431-6111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15790 Paul Vega Md Dr",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031436",
            "country_code": "US",
            "telephone_number": "985-345-2700",
            "fax_number": "985-230-6652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16000 Johnston Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117664",
            "country_code": "US",
            "telephone_number": "276-258-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "58 Carroll St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "242664510",
            "country_code": "US",
            "telephone_number": "276-883-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1519 Main St",
            "address_purpose": "LOCATION",
            "city": "Sneedville",
            "state": "TN",
            "postal_code": "378693657",
            "country_code": "US",
            "telephone_number": "423-733-5070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 Health Care Dr",
            "address_purpose": "LOCATION",
            "city": "Pennington Gap",
            "state": "VA",
            "postal_code": "242772853",
            "country_code": "US",
            "telephone_number": "276-546-5212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 S Shady St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Mountain City",
            "state": "TN",
            "postal_code": "376832021",
            "country_code": "US",
            "telephone_number": "423-727-1103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOEIN",
        "first_name": "PAYAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-31",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036177534",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2025-04073",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "TN",
            "license": "75900",
            "primary": false
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "TN",
            "license": "75900",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "349454",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101287471",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "110505",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "VA",
            "license": "0101287471",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "75900",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "67139",
            "primary": true
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "VA",
            "license": "0101287471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.