Individual provider Active NPI

Amir Houshang Moazzez, M.D.

  • Surgery Physician
  • Fairfax, VA
National Provider Identifier
1619963139
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101235385 Issued in VA
Practice address
3580 Joseph Siewick Dr Ste 205
Fairfax, VA 22033-1764
Phone
(703) 620-3211
Fax
(703) 620-3215
NPI assigned
Sep 20, 2005
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101235385 VA Primary

Addresses

Primary practice location

3580 Joseph Siewick Dr Ste 205
Fairfax, VA 22033-1764

Mailing address

3580 Joseph Siewick Dr Ste 205
Fairfax, VA 22033-1764
Phone (703) 620-3211

Other practice location 1

3620 Joseph Siewick Drive
Suite 200
Fairfax, VA 22033
Phone (703) 620-3211 ext. 2

Other practice location 2

9321 Sanger St Ste 204
Lorton, VA 22079-2720
Phone (703) 620-3211

Other practice location 3

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amoazzez60713@soc.inova.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040726001139 DC Practitioner - General Surgery 6103896402 Reassigns benefits to 2 organizations
I20150604000913 VA Practitioner - General Surgery 6103896402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

3020 Hamaker CT
Fairfax, VA 22031-2233
Phone (703) 289-9400

3300 Gallows Rd
Falls Church, VA 22042-3307

3580 Joseph Siewick Dr
Fairfax, VA 22033-1717
Phone (703) 852-7760

3580 Joseph Siewick Dr
Fairfax, VA 22033-1764

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
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
0101235385VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Nov 3, 2014 Accepting new patients
Inova Health Care Services CurrentSince Nov 3, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3020 Hamaker Ct
Ste 101
Fairfax, VA 22031
Phone (703) 289-9400

3580 Joseph Siewick Dr
Ste 205
Fairfax, VA 22033
Phone (703) 620-3211

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3620 Joseph Siewick Dr
Ste 200
Fairfax, VA 22033
Phone (703) 525-3069

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

9321 Sanger St
#204
Lorton, VA 22079
Phone (703) 620-3211

Interoperability endpoints

  • Direct secure messaging: amoazzez60713@soc.inova.org

Organizations & group practices 3

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 4

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1619963139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 JOSEPH SIEWICK DR STE 205",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331764",
            "telephone_number": "703-620-3211",
            "fax_number": "703-620-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 JOSEPH SIEWICK DR STE 205",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331764",
            "telephone_number": "703-620-3211",
            "fax_number": "703-620-3215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3620 Joseph Siewick Drive",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "22033",
            "country_code": "US",
            "telephone_number": "703-620-3211 x2",
            "fax_number": "703-620-3215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9321 Sanger St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Lorton",
            "state": "VA",
            "postal_code": "220792720",
            "country_code": "US",
            "telephone_number": "703-620-3211",
            "fax_number": "571-492-3059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 Joseph Siewick Dr",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220331709",
            "country_code": "US",
            "telephone_number": "703-391-3600",
            "fax_number": "703-391-3414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOAZZEZ",
        "first_name": "AMIR",
        "middle_name": "HOUSHANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101235385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amoazzez60713@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3600 Joseph Siewick Dr",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220331709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.