Active NPI
Abbas Motazedi, MD
- Endocrinology, Diabetes & Metabolism Physician
- Washington, DC
National Provider Identifier
1962572644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 11580
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011001500 | Medicaid | DC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11580 | DC | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abbas Motazedi, MD | Endocrinology, Diabetes & Metabolism | Past | 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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Washington, DC
- NPI 1568667996
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, DC
- NPI 1548378235
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.