Individual provider Active NPI

Moe Amadpour, M.D.

  • Gastroenterology Physician
  • Simi Valley, CA
National Provider Identifier
1508965476
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G81182 Issued in CA
Practice address
1159 Roadrunner Way
Simi Valley, CA 93065-3159
Phone
(805) 583-2643
Fax
(805) 583-0111
NPI assigned
Sep 21, 2006
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G81182 CA Primary

Addresses

Primary practice location

1159 Roadrunner Way
Simi Valley, CA 93065-3159

Mailing address

1159 Roadrunner Way
Simi Valley, CA 93065-3159
Phone (805) 583-2643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040513001559 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 5395735104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1159 Roadrunner Way
Simi Valley, CA 93065-3159
Phone (805) 583-2643

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.98 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
86.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy247
Upper gastrointestinal (GI) endoscopy for acid reflux197

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G81182CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Simi Valley Hospital and Health Care Services Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1508965476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 ROADRUNNER WAY",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653159",
            "telephone_number": "805-583-2643",
            "fax_number": "805-583-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 ROADRUNNER WAY",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653159",
            "telephone_number": "805-583-2643",
            "fax_number": "805-583-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMADPOUR",
        "first_name": "MOE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G81182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.