NPIMap

Organization Active NPI

Kiya Movassaghi MD. P.C.

  • Specialist
  • Eugene, OR
National Provider Identifier
1801078050
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD23767 Issued in OR
Legal business name
KIYA MOVASSAGHI MD. P.C.
Practice address
330 S. Garden Way
Suite 100
Eugene, OR 97401
Phone
(541) 686-8700
Fax
(541) 686-9004
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Authorized official

Name
Dr. Kiya Movassaghi, M.D. P.C.
Title
Patient Accts
Phone
(541) 686-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD23767 OR Primary

Addresses

Primary practice location

330 S. Garden Way
Suite 100
Eugene, OR 97401

Mailing address

330 S. Garden Way,
Suite 100
Eugene, OR 97401
Phone (541) 686-8700

Other identifiers 1

IdentifierTypeStateIssuer
286507MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040601000881 OR Part B Supplier - Clinic/Group Practice 9739161134 Receives reassigned benefits from 5 practitioners
Practice locations: Eugene, OR; Springfield, OR

National Provider Directory

National Provider Directory

Locations

330 S Garden Way
Ste 100
Eugene, OR 97401
Phone (541) 686-8700

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1801078050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S. GARDEN WAY,",
            "address_2": "SUITE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-686-8700",
            "fax_number": "541-686-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S. GARDEN WAY",
            "address_2": "SUITE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-686-8700",
            "fax_number": "541-686-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIYA MOVASSAGHI MD. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "MOVASSAGHI",
        "authorized_official_first_name": "KIYA",
        "authorized_official_title_or_position": "PATIENT ACCTS",
        "authorized_official_telephone_number": "541-686-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. P.C."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD23767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286507",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.