Active NPI
Sepideh Farzin Moghadam, MD
- Gastroenterology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- W1039
- Practice address
- 4502 Medical Dr
San Antonio, TX 78229-4402 - Phone
- (210) 358-4000
- Fax
- (210) 358-4775
- NPI assigned
- Jul 14, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | C4224 | KY | |
| Gastroenterology Physician | 207RG0100X | 35.127346 | OH | |
| Gastroenterology Physician | 207RG0100X | 01073455A | IN | |
| Gastroenterology Physician | 207RG0100X | W1039 | TX | Primary |
Addresses
Primary practice location
4502 Medical Dr
San Antonio, TX 78229-4402
Mailing address
4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000
Other practice location 1
8300 Floyd Curl Dr
San Antonio, TX 78229-3931
Phone (210) 644-9300
Other practice location 2
7979 Wurzbach Rd
San Antonio, TX 78229-4427
Phone (210) 743-4324
Other practice location 3
903 W Martin St # MS 49-2
San Antonio, TX 78207-0903
Phone (210) 358-3400
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smoghadam895873@direct.ketteringhealth.org | ||
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OH, KY, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 Pleasant Valley Rd
Suite 401
Owensboro, KY 42303-9774
Phone (270) 417-7800
7200 Cambridge St
FL 8
Houston, TX 77030-4202
Phone (713) 798-7700
Hospital & facility affiliations
- St Luke'S the Woodlands Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W1039 | TX | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physicians Inc | Internal Medicine | Current | Accepting new patients |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Union Associated Physicians Clinic LLC | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Cleveland Clinic Mercy Hospital | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Cleveland Clinic Mercy Hospital | Current | Accepting new patients | |
| Union Associated Physicians Clinic, LLC | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc. | Current | Accepting new patients | |
| Parkview Health System, Inc. | Internal Medicine | Current | Accepting new patients |
| Parkview Health System Inc | Internal Medicine | Current | Accepting new patients |
| Baylor College of Medicine | Internal Medicine | Current | Accepting new patients |
| Parkview Health System,Inc. | Internal Medicine | Past | Accepting new patients |
Locations
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
3702 New Vision Dr
Bldg B
Fort Wayne, IN 46845
Phone (260) 266-8210
11104 Parkview Circle Dr
Ste 310
Fort Wayne, IN 46845
Phone (260) 266-5230
6920 Pointe Inverness Way
Ste 200
Fort Wayne, IN 46804
Phone (260) 479-3514
11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020
3926 New Vision Dr
Bldg H
Fort Wayne, IN 46845
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556
221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
1301 Pleasant Valley Rd
Ste 401
Owensboro, KY 42303
Phone (270) 417-7800
1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924
7200 Cambridge St
Fl 8
Houston, TX 77030
Phone (713) 798-2400
7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2
7200 Cambridge St
Houston, TX 77030
Phone (713) 798-2400
17450 St Lukes Way
Ste 340
The Woodlands, TX 77384
Phone (936) 266-2645
17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 14
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.
-
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
- General Acute Care Hospital
- Canton, OH
- NPI 1366433195
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
Internal Medicine
-
- Family Medicine Physician
- Terre Haute, IN
- NPI 1891028379
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1245313329
-
- Orthopaedic Surgery Physician
- Sugar Land, TX
- NPI 1700683844
-
- Dental Clinic/Center
- Canton, OH
- NPI 1023362100
-
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
- Family Nurse Practitioner
- Greenville, KY
- NPI 1689291577
-
- Internal Medicine Physician
- Fort Wayne, IN
- NPI 1952411233
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1942208616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1508020017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4502 MEDICAL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294402",
"telephone_number": "210-358-4000",
"fax_number": "210-358-4775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 MEDICAL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294402",
"telephone_number": "210-358-4000",
"fax_number": "210-358-4775"
}
],
"practiceLocations": [
{
"address_1": "8300 Floyd Curl Dr",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782293931",
"country_code": "US",
"telephone_number": "210-644-9300",
"fax_number": "210-644-9307",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7979 Wurzbach Rd",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782294427",
"country_code": "US",
"telephone_number": "210-743-4324",
"fax_number": "210-702-4136",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "903 W Martin St # MS 49-2",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782070903",
"country_code": "US",
"telephone_number": "210-358-3400",
"fax_number": "210-358-6777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARZIN MOGHADAM",
"first_name": "SEPIDEH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-14",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "KY",
"license": "C4224",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OH",
"license": "35.127346",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IN",
"license": "01073455A",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "W1039",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smoghadam895873@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "7700 Washington Village Dr Ste 120",
"city": "Dayton",
"state": "OH",
"country_code": "US",
"postal_code": "454594071",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
"affiliation": "N",
"address_1": "7700 Washington Village Dr Ste 120",
"city": "Dayton",
"state": "OH",
"country_code": "US",
"postal_code": "454594071",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.