Active NPI
Mosaab Bagegni, MD
- Pulmonary Disease Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 80036
- Practice address
- 2601 E Roosevelt St
Phoenix, AZ 85008-4973 - Phone
- (602) 344-5011
- Fax
- (602) 655-9116
- NPI assigned
- Aug 22, 2008
- Last updated
- Jun 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101258304 | VA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 0101258304 | VA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 80036 | AZ | |
| Pulmonary Disease Physician | 207RP1001X | 0101258304 | VA | |
| Pulmonary Disease Physician | 207RP1001X | 80036 | AZ | Primary |
| Sleep Medicine (Family Medicine) Physician | 207QS1201X | 0101258304 | VA |
Addresses
Primary practice location
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Mailing address
2929 E Thomas Rd
Phoenix, AZ 85016-8034
Phone (602) 470-5000
Other practice location 1
2006 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 689-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811144694 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1602 Skipwith Rd
Richmond, VA 23229-5205
Phone (615) 372-3372
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101258304 | VA | MD | Sleep Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Augusta Medical Group | Current | Accepting new patients | |
| Augusta Medical Group | Current | Accepting new patients | |
| Intensive Care Consortium Inc | Critical Care Medicine | Current | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687
70 Medical Center Cir
Ste 308
Fishersville, VA 22939
Phone (540) 245-7190
78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216
1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500
1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400
Interoperability endpoints
- https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- General Practice Physician
- Fishersville, VA
- NPI 1245489590
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
dba Augusta Health Primary Care Lexington
- Rural Health Clinic/Center
- Lexington, VA
- NPI 1265015580
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CJW Medical Center
- General Acute Care Hospital
- Richmond, VA
- NPI 1598708513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1811144694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850168034",
"telephone_number": "602-470-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 E ROOSEVELT ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850084973",
"telephone_number": "602-344-5011",
"fax_number": "602-655-9116"
}
],
"practiceLocations": [
{
"address_1": "2006 Health Campus Dr",
"address_purpose": "LOCATION",
"city": "Rockingham",
"state": "VA",
"postal_code": "228018679",
"country_code": "US",
"telephone_number": "540-689-5600",
"fax_number": "757-579-8532",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAGEGNI",
"first_name": "MOSAAB",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-22",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101258304",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "VA",
"license": "0101258304",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "AZ",
"license": "80036",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "VA",
"license": "0101258304",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "AZ",
"license": "80036",
"primary": true
},
{
"code": "207QS1201X",
"taxonomy_group": "",
"desc": "Family Medicine, Sleep Medicine",
"state": "VA",
"license": "0101258304",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811144694",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.