NPIMap

Organization Active NPI

Medical Arts Associates P.S

  • Family Medicine Physician
  • Bellevue, WA
National Provider Identifier
1497827232
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDICAL ARTS ASSOCIATES P.S
Practice address
1632 116TH Ave NE Ste C
Bellevue, WA 98004-3035
Phone
(425) 454-8191
Fax
(425) 454-3037
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Authorized official

Name
Sobia Moghis, MDNPI 1568625259
Title
President
Phone
(425) 454-8191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1632 116TH Ave NE Ste C
Bellevue, WA 98004-3035

Mailing address

1632 116TH Ave NE Ste C
Bellevue, WA 98004-3035
Phone (425) 454-8191

Other practice location 1

1380 112th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 454-8191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040414000941 WA Part B Supplier - Clinic/Group Practice 9133113731 Receives reassigned benefits from 5 practitioners
Practice locations: Bellevue, WA

National Provider Directory

National Provider Directory

Locations

1631 116TH Ave NE Ste C
Bellevue, WA 98004

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13603/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1497827232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 116TH AVE NE STE C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043035",
            "telephone_number": "425-454-8191",
            "fax_number": "425-454-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 116TH AVE NE STE C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043035",
            "telephone_number": "425-454-8191",
            "fax_number": "425-454-3037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 112th Ave NE",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "98004",
            "country_code": "US",
            "telephone_number": "425-454-8191",
            "fax_number": "425-454-3037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL ARTS ASSOCIATES P.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "MOGHIS",
        "authorized_official_first_name": "SOBIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-454-8191",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.