Individual provider Active NPI

Sepideh Farzin Moghadam, MD

  • Gastroenterology Physician
  • San Antonio, TX
National Provider Identifier
1508020017
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
W1039 Issued in TX
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

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, TX4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20161103000116 IN Practitioner - Gastroenterology 9335304583 Reassigns benefits to 2 organizations
I20240328001133 OH Practitioner - Gastroenterology 9335304583 Reassigns benefits to 1 organization
I20250730004116 KY Practitioner - Gastroenterology 9335304583 Reassigns benefits to 1 organization
I20251223001294 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 9335304583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Owensboro Health Medical Group IncGroup PAC ID 0648255034, 455 clinicians
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

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 Hospital, The Woodlands, TX, CCN 450862

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
W1039TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc Internal Medicine Current Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Union Associated Physicians Clinic LLC CurrentSince Mar 11, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Nov 1, 2025 Accepting new patients
Cleveland Clinic Mercy Hospital CurrentSince Feb 11, 2024 Accepting new patients
Owensboro Health Medical Group Inc Internal Medicine CurrentSince Jul 21, 2025 Accepting new patients
Cleveland Clinic Mercy Hospital CurrentSince Feb 11, 2024 Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince Mar 11, 2024 Accepting new patients
Owensboro Health Medical Group, Inc. CurrentSince Jul 21, 2025 Accepting new patients
Parkview Health System, Inc. Internal Medicine CurrentSince Oct 2, 2016 Accepting new patients
Parkview Health System Inc Internal Medicine Current Accepting new patients
Baylor College of Medicine Internal Medicine CurrentSince Nov 1, 2025 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.

View all 14

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": "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

Verify at the official NPI Registry.