Individual provider Active NPI

Sobia Moghis, M.D.

  • Family Medicine Physician
  • Bellevue, WA
National Provider Identifier
1568625259
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60206226 Issued in WA
Practice address
1632 116TH Ave NE Ste 100
Bellevue, WA 98004
Phone
(425) 454-8191
Fax
(425) 454-3037
NPI assigned
Jul 3, 2008
Last updated
Mar 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60206226 WA Primary

Addresses

Primary practice location

1632 116TH Ave NE Ste 100
Bellevue, WA 98004

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20111011000474 WA Practitioner - Family Practice 7214109552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60206226WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Arts Associates P.S Family Medicine CurrentSince Jan 3, 2012 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1600 116th Ave NE
Ste 102
Bellevue, WA 98004
Phone (206) 454-5311

1632 116th Ave NE
Ste C
Bellevue, WA 98004
Phone (206) 462-9800

Interoperability endpoints

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

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 3

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1568625259",
    "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 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-454-8191",
            "fax_number": "425-454-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGHIS",
        "first_name": "SOBIA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60206226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.