Individual provider Active NPI

Abbas Motazedi, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Washington, DC
National Provider Identifier
1962572644
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
11580 Issued in DC
Practice address
1160 Varnum St NE
111
Washington, DC 20017
Phone
(202) 269-0381
Fax
(202) 269-0390
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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 11580 DC
Nuclear Medicine Physician 207U00000X 11580 DC
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 11580 DC Primary

Addresses

Primary practice location

1160 Varnum St NE
111
Washington, DC 20017

Mailing address

PO Box 1410
Great Falls, VA 22066
Phone (202) 269-0381

Other identifiers 1

IdentifierTypeStateIssuer
011001500MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050421000297 DC Practitioner - Endocrinology 7719925627 Practice locations: Washington, DC

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1160 Varnum St NE
Suite 111
Washington, DC 20017-2110
Phone (202) 269-0381

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.91 of 100Reported as individual
Quality
64.93
Improvement activities
40
Cost
82.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11580DCMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abbas Motazedi, MD Endocrinology, Diabetes & Metabolism PastSince Jan 1, 2005 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1962572644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1410",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "22066",
            "telephone_number": "202-269-0381",
            "fax_number": "202-269-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE",
            "address_2": "111",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20017",
            "telephone_number": "202-269-0381",
            "fax_number": "202-269-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTAZEDI",
        "first_name": "ABBAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "11580",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "DC",
            "license": "11580",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "DC",
            "license": "11580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011001500",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.