DR. SANDRA MOALLEM M.D
NPI 1063648699
Internal Medicine in Chesapeake, VA
About Dr. Sandra Moallem M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SANDRA MOALLEM M.D (NPI 1063648699) is an individual internal medicine provider in Chesapeake, Virginia, licensed in Virginia (0101255459) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Sandra Moallem M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Sandra Moallem reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Englewood, NJ 07631
- Reassigned Medicare billing, New Jersey enrollment
- 849 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Englewood Hospital And Medical Center
Acute Care Hospitals · Englewood, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23321 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHESAPEAKE, VA 23321
CHESAPEAKE, VA 23321
CHESAPEAKE, VA 23321
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sandra Moallem's NPI number?
The NPI number for Sandra Moallem is 1063648699. It was assigned to this individual provider in the NPPES registry on June 10, 2009. The provider is also known as Dr. Sandra Mariela Safirsztein M.D.
Where is Sandra Moallem located?
Sandra Moallem practices at 3241 Western Branch Blvd, Chesapeake, VA 23321. The listed phone number is (757) 967-8622.
What is Sandra Moallem's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Sandra Moallem enrolled in Medicare?
Yes. Sandra Moallem is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Sandra Moallem's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Moallem reassigns Medicare benefits to Medical Associates Of Englewood, PC (Englewood, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Moallem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Sandra Moallem affiliated with any hospitals?
According to CMS data, Sandra Moallem is affiliated with Englewood Hospital And Medical Center.
When was this NPI record last updated?
The NPPES record for Sandra Moallem was last updated on March 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Sandra Moallem, M.D · NPI 1063648699
Internal Medicine physician in Chesapeake, Virginia. Individual provider, active in the CMS NPPES registry since June 10, 2009.
## Identity
- **NPI:** 1063648699 (Entity type: Individual)
- **Enumerated:** June 10, 2009
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 0101255459 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3241 WESTERN BRANCH BLVD, Chesapeake, VA 23321-5260
- **Phone:** (757) 967-8622 · **Fax:** (757) 686-0541
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Medical Associates Of Englewood, PC (NPI 1952681918, Englewood, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** March 2, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1063648699) · Data from the CMS NPPES public registry.