DR. SAMANEH DAVOUDIMOGHADDAM MD
NPI 1073036612
Ophthalmology in Renton, WA

Q: What is Samaneh Davoudimoghaddam's NPI number?

The NPI number for Samaneh Davoudimoghaddam is 1073036612. It was assigned to this individual provider in the NPPES registry on July 25, 2017.

Q: What is Samaneh Davoudimoghaddam's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since July 25, 2017PECOS EnrolledAccepts Medicare Assignment

4300 TALBOT RD S STE 300, RENTON, WA 98055(425) 228-6262(425) 228-6260 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2024, Jan 3, 2024, May 15, 2023 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Samaneh Davoudimoghaddam Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMANEH DAVOUDIMOGHADDAM MD (NPI 1073036612) is an individual ophthalmology provider in Renton, Washington, licensed in Washington (WA61387239) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Valley Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1073036612

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameDR. SAMANEH DAVOUDIMOGHADDAMCredential: MD

Location Address4300 TALBOT RD S STE 300Renton, WA 98055-6238

Mailing Address4300 Talbot Rd S Ste 300Renton, WA 98055-6238 · (425) 228-6262 · Fax (425) 228-6260

Phone(425) 228-6262

Fax(425) 228-6260

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJuly 25, 2017

Last NPPES UpdateJuly 1, 20244 updates tracked since enumeration

NPPES CertifiedJuly 1, 2024

✔ NPI 1073036612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in WA · WA61387239

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License WA61387239 (WA)

4300 TALBOT RD S STE 300, Renton, WA 98055

Open in Google Maps ↗

Other Identifiers 1

Medicaid2246367WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Samaneh Davoudimoghaddam Md 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.

PECOS PAC ID6204180078

PECOS Enrollment IDI20230526001936

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 17

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.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

9,720 services21 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

663 services203 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

644 services365 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

614 services146 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

611 services318 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

466 services64 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

342 services106 patients

Compounded drug, not otherwise classified J7999

A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.

265 services72 patients

Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426

Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.

261 services88 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

152 services152 patients

Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month 99427

Principal Care Management (PCM) services focus on managing a single high-risk disease. It involves additional 30 minutes of clinical staff time per month, overseen by a healthcare professional. This includes monitoring your health, coordinating care, and developing a personalized treatment plan.

106 services68 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

87 services52 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

59 services50 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

32 services32 patients

Injection, bevacizumab, 10 mg J9035

Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.

24 services16 patients

Removal of membrane of retina with removal of internal limiting membrane of retina 67042

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

22 services21 patients

Removal of eye fluid (vitreous) between lens and retina 67036

This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.

21 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Valley Medical Center

Acute Care Hospitals · Renton, WA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500088

Location400 S 43rd StRenton, WA 98055 · King County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$143.76 typical visit price

range $63.67 – $189.37

Typical copayment $35.94 (range $15.91 – $47.34)

Most-billed visit code 99204

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL D. WAXMAN MD

Ophthalmology

4300 TALBOT RD S STE 300
RENTON, WA 98055

King County (425) 228-6260

RETINA INSTITUTE, PLLC

Ophthalmology (Retina Specialist)

4300 TALBOT RD S STE 300
RENTON, WA 98055

King County (425) 228-6262

DR. KENNETH H FUNG M.D., M.B.A.

Ophthalmology

4300 TALBOT RD S STE 300
RENTON, WA 98055

King County (425) 228-6262

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 Samaneh Davoudimoghaddam's NPI number?

The NPI number for Samaneh Davoudimoghaddam is 1073036612. It was assigned to this individual provider in the NPPES registry on July 25, 2017.

Where is Samaneh Davoudimoghaddam located?

Samaneh Davoudimoghaddam practices at 4300 Talbot Rd S Ste 300, Renton, WA 98055. The listed phone number is (425) 228-6262.

What is Samaneh Davoudimoghaddam's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Samaneh Davoudimoghaddam enrolled in Medicare?

Yes. Samaneh Davoudimoghaddam 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.

What insurance does Samaneh Davoudimoghaddam accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Samaneh Davoudimoghaddam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Samaneh Davoudimoghaddam affiliated with any hospitals?

According to CMS data, Samaneh Davoudimoghaddam is affiliated with Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Samaneh Davoudimoghaddam was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.