Moazam PA
NPI 1699043166ActiveOrganization· Internal Medicine· Thornton, CO
Internal Medicine in Thornton, Colorado, registered in NPPES in December 2011. The authorized official on file is Mustafa Mohammed Moazam, M.D., Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1699043166 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 12, 2011 |
| Last updated in NPPES | Jul 18, 2022 |
| Certified by provider | May 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | N6499 | TX |
| Family Medicine | 207Q00000X | Q3405 | TX |
| Pediatrics | 208000000X | N6499 | TX |
| Pediatrics, Pediatric Hematology-Oncology | 2080P0207X | N6499 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (NM); Part B Supplier - Clinic/Group Practice (TX) |
|---|
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