Sassan Taghizadehmoghaddam, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD036189 Issued in DC

Practice address

1160 Varnum St NE Ste 115
Washington, DC 20017-2110

Phone

(202) 269-4770

Fax

(202) 269-4685

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

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 2

Specialty

Internal Medicine

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Premier Primary Care LLCGroup PAC ID 3476068354, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Washington, DC, CCN 097024
• Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Premier Primary Care LLC

  • Internal Medicine Physician
  • Frederick, MD
  • NPI 1568275600
  Medicare reassignment Care Compare group NPD Authorized official
• Harminder S Sethi MD PA

  • Hematology & Oncology Physician
  • Washington, DC
  • NPI 1982844809
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys District of Columbia LLC

  dba Amedisys Home Health

  • Home Health Agency
  • Washington, DC
  • NPI 1669426730
  Care Compare affiliation
• Washington Hospital Center Corporation

  • General Acute Care Hospital
  • Washington, DC
  • NPI 1548378235
  Care Compare affiliation

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1992722557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 INVERNESS RIDGE RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544011",
            "telephone_number": "301-610-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE STE 115",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172110",
            "telephone_number": "202-269-4770",
            "fax_number": "202-269-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGHIZADEHMOGHADDAM",
        "first_name": "SASSAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD036189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adele B Tagaintchun
• Michel Tagantsing
• Alysha Tagert, MSW, LGSW
• Sylvia Johanna Taggart, PA-C
• Nadine Taghian
• Tancredi Tagliaferri, LMT
• Matthew John Taglieri, DO
• Adriano Taglietti
• Gabriel Koungue Tagne
• Gilbert Tella Tagne I

• Internal Medicine Physician in Washington, DC
• Providers in Washington, DC by specialty
• Internal Medicine Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.

Verify at the official NPI Registry.