Active NPI
Negar Rebecca Moazami, M.D.
- Internal Medicine Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- P5688
- Practice address
- 3600 Gaston Ave
Suite 550
Dallas, TX 75246-1800 - Phone
- (214) 820-2361
- NPI assigned
- Apr 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | P5688 | TX | Primary |
Addresses
Primary practice location
3600 Gaston Ave
Suite 550
Dallas, TX 75246-1800
Mailing address
2107 Knob Hill Dr
Corinth, TX 76210-1918
Phone (214) 477-5584
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Texas Medical Branch at Galveston, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3600 Gaston Ave
Dallas, TX 75246-1800
Phone (469) 800-7700
Hospital & facility affiliations
- Vitas Healthcare of Texas LP
- Baylor University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P5688 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Baylor University Medical Center | Past | Accepting new patients |
Locations
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
3600 Gaston Ave
Ste 550
Dallas, TX 75246
Phone (214) 821-1177
3600 Gaston Ave
Dallas, TX 75246
Phone (214) 820-7246
3600 Gaston Ave
Ste 558
Dallas, TX 75246
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648
700 Walter Reed Blvd
Ste 203
Garland, TX 75042
Phone (972) 426-9900
Interoperability endpoints
- nmoazami262372@direct.sw.org
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
- Community Based Hospice Care Agency
- Dallas, TX
- NPI 1609915966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423008000000",
"number": "1972893501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2107 KNOB HILL DR",
"city": "CORINTH",
"state": "TX",
"postal_code": "762101918",
"telephone_number": "214-477-5584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 GASTON AVE",
"address_2": "SUITE 550",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461800",
"telephone_number": "214-820-2361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOAZAMI",
"first_name": "NEGAR",
"middle_name": "REBECCA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-16",
"last_updated": "2015-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "P5688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.