Moazam PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

N6499 Issued in TX

Legal business name

MOAZAM PA

Doing business as

Healthy horizons Clinic

Practice address

1700 W 100TH Ave Ste 100
Thornton, CO 80260-5982

Phone

(915) 852-3225

NPI assigned

Dec 12, 2011

Last updated

Jul 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mustafa Mohammed Moazam, M.D.NPI 1306987474

Title

Medical Director

Phone

(918) 691-9129

Specialties & licenses 4

Addresses

Other names 1

• Healthy horizons Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX, CO, NM3 enrollments

Enrollment records 3

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Moazam PA

  dba Healthy Horizons Clinic

  • Internal Medicine Physician
  • Pasadena, TX
  • NPI 1003465915

  O20120409000135

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Healthy Horizons Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Moazam PA

  dba Healthy Horizons Clinic

  • Internal Medicine Physician
  • Pasadena, TX
  • NPI 1003465915
  NPD tax ID

Locations

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mustafa Mohammed Moazam, MD

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1306987474

  CO, NM

  Medicare reassignment Care Compare group NPD Authorized official
• Haala Hai, D.O

  • Family Medicine Physician
  • Pasadena, TX
  • NPI 1417335308
  Medicare reassignment Care Compare group NPD
• Khaja Najibuddin Chisty, M.D

  • Psychiatry Physician
  • Aurora, CO
  • NPI 1073785325
  Medicare reassignment NPD
• Jennifer A Fischer, RN, APN, FNP-BC

  • Family Nurse Practitioner
  • Thornton, CO
  • NPI 1023679628
  Medicare reassignment NPD
• Jolene Lyn Nawrocki, DNP, FNP

  • Family Nurse Practitioner
  • Wheat Ridge, CO
  • NPI 1821587908
  Medicare reassignment NPD
• Lyza Joyce Youngs, APN

  • Family Nurse Practitioner
  • Arvada, CO
  • NPI 1295417947
  Medicare reassignment NPD
• Tania Abraham, APRN, FNP-BC

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1801647557
  Medicare reassignment NPD
• Afroze Hai, M.D.

  • Pediatrics Physician
  • Flint, MI
  • NPI 1598745812

  TX

  Medicare reassignment NPD
• Eric Hernandez, FNP-C

  • Family Nurse Practitioner
  • Horizon City, TX
  • NPI 1003628793
  Medicare reassignment NPD
• Robert Michael Kaufman, RNFNP-C

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1174574537
  Medicare reassignment NPD
• Sucharitha Meka, MD

  • Family Medicine Physician
  • Sunland Park, NM
  • NPI 1922449560

  TX

  Medicare reassignment NPD
• Samantha Nicole Newton, APRN

  • Family Nurse Practitioner
  • Cheyenne, WY
  • NPI 1801457809

  CO

  Medicare reassignment NPD

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1699043166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14470 HORIZON BLVD",
            "address_2": "STE J",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799287695",
            "telephone_number": "915-852-3225",
            "fax_number": "915-209-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W 100TH AVE STE 100",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802605982",
            "telephone_number": "915-852-3225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14470 Horizon Blvd",
            "address_2": "Ste J",
            "address_purpose": "LOCATION",
            "city": "Horizon City",
            "state": "TX",
            "postal_code": "799287695",
            "country_code": "US",
            "telephone_number": "915-852-3225",
            "fax_number": "915-209-8289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOAZAM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2022-07-18",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "MOAZAM",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_middle_name": "MOHAMMED",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "918-691-9129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q3405",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N6499",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N6499",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "TX",
            "license": "N6499",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy horizons Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healthy horizons Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raymond Mitsch, PH.D.
• Janna Lee Mitsos, DMD
• Elin Mixer, NP
• Claire Mizen-Halperin, OTR/L
• MMHS LLC
• Modern Dental Professionals Co PC (Bright Now Dental Thornton)
• Modern Dental Professionals Co,PC (Brightnow Thornton)
• Modern Vascular of Denver, LLC
• Upasana B. Mohapatra, M.D.
• Nicholas James Mohney, DMD

• Internal Medicine Physician in Thornton, CO
• Providers in Thornton, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.