Individual provider Active NPI

Mohammad Reza Movahed Shariat Panahi, MD, PHD

  • Interventional Cardiology Physician
  • Durango, CO
National Provider Identifier
1578574232
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
DR.0057483 Issued in CO
Practice address
1 Mercado St Ste 2020
Durango, CO 81301-7306
Phone
(970) 247-1120
NPI assigned
Aug 10, 2006
Last updated
Feb 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35065 AZ
Interventional Cardiology Physician 207RI0011X 35065 AZ
Interventional Cardiology Physician 207RI0011X DR.0057483 CO Primary
Interventional Cardiology Physician 207RI0011X MD25127 HI
Interventional Cardiology Physician 207RI0011X MD228363 OR

Addresses

Primary practice location

1 Mercado St Ste 2020
Durango, CO 81301-7306

Mailing address

6119 N Pinchot Rd
Tucson, AZ 85750-1297
Phone (520) 303-4572

Other practice location 1

6119 N Pinchot Rd
Tucson, AZ 85750-1297
Phone (520) 303-4572

Other practice location 2

19250 SW 65th Ave
Tualatin, OR 97062-7452
Phone (503) 413-7162

Other identifiers 2

IdentifierTypeStateIssuer
098905MedicaidAZ
P00326371OtherAZRAILROAD MEDICARE

Other names 1

  • Dr. Mohammad Reza Movahed Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ, FL, UT, HI, OR, WA7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20050504000687 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Other (Physician) 7719927243
I20060901000014 AZ Practitioner - Cardiac SurgeryPractitioner - Cardiovascular Disease (Cardiology) 7719927243 Reassigns benefits to 3 organizations
I20230822000542 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional CardiologyPractitioner - Advanced Heart Failure and Transplant Cardiology 7719927243
I20250520002668 UT Practitioner - Cardiovascular Disease (Cardiology) 7719927243 Reassigns benefits to 1 organization
I20251001004874 HI Practitioner - Interventional Cardiology 7719927243 Reassigns benefits to 3 organizations
I20260316001168 OR Practitioner - Cardiovascular Disease (Cardiology) 7719927243 Reassigns benefits to 2 organizations
I20260401003083 WA Practitioner - Interventional Cardiology 7719927243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Advanced Heart Failure and Transplant Cardiology, Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kau HospitalGroup PAC ID 7416945548, shared by 9 NPIs, 138 clinicians

Practice addresses (Care Compare)

1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3730

6119 N Pinchot Rd
Tucson, AZ 85750-1297
Phone (520) 730-2534

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35065AZMDCardiovascular Disease Physician
DR.0057483COMDInterventional Cardiology Physician
MD25127HIMDInterventional Cardiology Physician
MD228363ORMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hilo Benioff Medical Center Current Accepting new patients
Mt Graham Regional Medical Center Inc CurrentSince Aug 1, 2025 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Hilo Benioff Medical Center CurrentSince Sep 18, 2025 Accepting new patients
Honokaa Hospital & Skilled Nursing CurrentSince Sep 18, 2025 Accepting new patients
Legacy Clinics LLC Internal Medicine CurrentSince Feb 2, 2026 Accepting new patients
Honokaa Hospital & Skilled Nursing CurrentSince Sep 18, 2025 Accepting new patients
Hilo Benioff Medical Center CurrentSince Sep 18, 2025 Accepting new patients
Tucson Physician Group Holdings, LLC Internal Medicine CurrentSince Dec 6, 2017 Accepting new patients
Kau Hospital CurrentSince Sep 18, 2025 Accepting new patients
Kau Hospital CurrentSince Sep 18, 2025 Accepting new patients
Mt Graham Regional Medical Center Inc Cardiovascular Disease Past Accepting new patients
U2Rworthit1 LLC Interventional Cardiology PastSince Oct 21, 2025 Accepting new patients

Locations

1600 S 20th Ave
Safford, AZ 85546
Phone (928) 348-4000

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

445 N Silverbell Rd
Ste 201
Tucson, AZ 85745
Phone (520) 396-1370

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

45-547 Plumeria St
Honokaa, HI 96727
Phone (808) 932-4100

1040 NW 22nd Ave
Ste 660
Portland, OR 97210
Phone (503) 692-0405

501 N Graham St
Ste 200
Portland, OR 97227
Phone (503) 413-4488

19250 SW 65th Ave
Tualatin, OR 97062
Phone (503) 691-6582

Interoperability endpoints

  • Direct secure messaging: mohammedreza.movahed.p4@direct.caremorewest.nextgenshare.com
  • Direct secure messaging: vvh_him@direct.vvh.org
  • Direct secure messaging: mmovahed42528@hhsc.direct-ci.com
  • Direct secure messaging: mmovahed629143@hisp.ehr.sutterhealth.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/
  • Direct secure messaging: mmovahed32360@direct.svmh.com

Organizations & group practices 16

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.

View all 16

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1578574232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6119 N PINCHOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857501297",
            "telephone_number": "520-303-4572",
            "fax_number": "520-303-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCADO ST STE 2020",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017306",
            "telephone_number": "970-247-1120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6119 N Pinchot Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857501297",
            "country_code": "US",
            "telephone_number": "520-303-4572",
            "fax_number": "520-303-4572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19250 SW 65th Ave",
            "address_purpose": "LOCATION",
            "city": "Tualatin",
            "state": "OR",
            "postal_code": "970627452",
            "country_code": "US",
            "telephone_number": "503-413-7162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOVAHED SHARIAT PANAHI",
        "first_name": "MOHAMMAD REZA",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "35065",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "35065",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CO",
            "license": "DR.0057483",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "HI",
            "license": "MD25127",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OR",
            "license": "MD228363",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098905",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00326371",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMMAD REZA",
            "last_name": "MOVAHED",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.