Ahmad Moezzi, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

35046829 Issued in OH

Practice address

330 N Main St
Dayton OB-GYN Inc
Centerville, OH 45459-4465

Phone

(937) 439-7550

Fax

(937) 439-7552

NPI assigned

Sep 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Encompass Family and Internal Medicine Group Inc

  • Family Medicine Physician
  • La Mesa, CA
  • NPI 1033449640
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1528054111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6227 WOODEN SHOE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454591557",
            "telephone_number": "937-439-5226",
            "fax_number": "937-439-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N MAIN ST",
            "address_2": "DAYTON OB-GYN INC",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594465",
            "telephone_number": "937-439-7550",
            "fax_number": "937-439-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEZZI",
        "first_name": "AHMAD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OH",
            "license": "35046829",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "OH",
            "license": "35046829",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0486808",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiarra Mitchell, PSYD
• Mobility Fit Physical Therapy LLC
• Modern Dental Professionals - Sandhu, Inc.
• Modern Dental Professionals-Lee,Inc
• Elizabeth Moermond
• Rebecca M Moles, LPCC
• Stella Monnig
• Emily Suzanne Monroe, PA-C
• Mark A Monsour, MD
• Brittany Renee Montgomery, CNP

• Gynecology Physician in Centerville, OH
• Providers in Centerville, OH by specialty
• Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.