Individual provider Active NPI

Meisam Hosseinabadi Moghbelli, M.D.

  • Cardiovascular Disease Physician
  • Madison, WI
National Provider Identifier
1790827210
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
73605-20 Issued in WI
Practice address
600 Highland Ave
Madison, WI 53792-1656
Phone
(608) 263-1530
Fax
(608) 265-8887
NPI assigned
Feb 12, 2007
Last updated
Jul 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X TRAINEE OH
Cardiovascular Disease Physician 207RC0000X 35-091988 OH
Cardiovascular Disease Physician 207RC0000X 73605-20 WI Primary

Addresses

Primary practice location

600 Highland Ave
Madison, WI 53792-1656

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other practice location 1

807 Farson St Ste 204A
Belpre, OH 45714-1069
Phone (740) 568-5207

Other practice location 2

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-3800

Other practice location 3

400 Matthew St Ste 302
Marietta, OH 45750-1656
Phone (740) 568-5207

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address meisam.moghbelli@mmhs.medicity.net
Direct Messaging Address meisammoghbelli@uhps.allscriptsdirect.net Health Information Exchange (HIE)
Direct Messaging Address meisam.moghbelli@mmhs.medicity.net
Direct Messaging Address mmoghbelli1137419@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WI2 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
I20080917000101 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 1557438546 Reassigns benefits to 9 organizations
I20200824000852 WI Practitioner - Cardiovascular Disease (Cardiology) 1557438546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Hospitalist Physicians LLPGroup PAC ID 9830487966, 56 clinicians
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 228-3335

1106 Colegate Dr
Marietta, OH 45750-1323
Phone (740) 568-2000

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

400 Matthew St
Marietta, OH 45750-1656

401 Matthew St
Marietta, OH 45750-1635
Phone (740) 374-1400

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

799 Farson St
Suite 210
Belpre, OH 45714-1044
Phone (740) 423-3082

807 Farson St
Belpre, OH 45714-1068

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TRAINEEOHMDInternal Medicine Physician
35-091988OHMDCardiovascular Disease Physician
73605-20WIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Foundation - Coshocton, LLC Internal Medicine CurrentSince Sep 3, 2017 Accepting new patients
George County Hospital Current Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Oct 14, 2017 Accepting new patients
Coshocton County Memorial Hospital Association Current Accepting new patients
North East Ohio Group Practice LLC Internal Medicine CurrentSince Nov 28, 2016 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Marietta Memorial Hospital CurrentSince Jul 22, 2019 Accepting new patients
Prime Healthcare Foundation - Coshocton LLC CurrentSince Sep 3, 2017 Accepting new patients
Community Hospitalist, LLC Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD Internal Medicine CurrentSince Oct 14, 2017 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Aug 1, 2016 Accepting new patients
Midwest Hospitalist Physicians LLP CurrentSince Oct 1, 2016 Accepting new patients
Ashtabula County Medical Center CurrentSince Aug 13, 2017 Accepting new patients
Marietta Memorial Hospital CurrentSince Jul 22, 2019 Accepting new patients
University Hospitals Cleveland Medical Center Past Accepting new patients
Inpatient Medical Services, Inc. Internal Medicine Past Accepting new patients
Community Medical Center Internal Medicine Past Accepting new patients
Garden Park Hospitalist Program LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Inpatient Physician Services Past Accepting new patients

Locations

1801 W Olympic Blvd
Pasadena, CA 91199

200 E Market St
Akron, OH 44308
Phone (330) 375-4112

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

803 Farson St
Ste 400
Belpre, OH 45714
Phone (740) 568-5207

807 Farson St
Ste 204A
Belpre, OH 45714
Phone (740) 423-3611

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

11100 Euclid Ave
Cleveland Heights, OH 44106

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

400 Matthew St
Ste 101
Marietta, OH 45750
Phone (740) 568-4150

400 Matthew St
Ste 302
Marietta, OH 45750
Phone (740) 568-5207

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

701 Hildreth Ln
Marietta, OH 45750
Phone (740) 371-7194

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHCBA
  • Direct secure messaging: meisammoghbelli@grh.medalliesdirect.net
  • Direct secure messaging: mmoghbelli1018362@direct.unitypoint.org
  • Direct secure messaging: mmoghbelli36435@ehrdirect.uhhospitals.org

Organizations & group practices 21

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 21

Hospital & facility affiliations 8

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1790827210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537921656",
            "telephone_number": "608-263-1530",
            "fax_number": "608-265-8887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "807 Farson St Ste 204A",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "457141069",
            "country_code": "US",
            "telephone_number": "740-568-5207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11100 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441061716",
            "country_code": "US",
            "telephone_number": "216-844-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Matthew St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457501656",
            "country_code": "US",
            "telephone_number": "740-568-5207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOGHBELLI",
        "first_name": "MEISAM",
        "middle_name": "HOSSEINABADI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "TRAINEE",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35-091988",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "73605-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "meisam.moghbelli@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "807 Farson St Ste 204A",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457141069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "meisammoghbelli@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "11100 Euclid Ave",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441061716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "meisam.moghbelli@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "400 Matthew St Ste 302",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmoghbelli1137419@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "600 Highland Ave",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537921656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.