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SANANDA ISABELLA MOCTEZUMA MD
NPI 1083109912
Student in an Organized Health Care Education/Training Program in New York, NY

Active since June 23, 2018PECOS EnrolledAccepts Medicare Assignment
1000 10TH AVE, NEW YORK, NY 10019(212) 523-6800 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sananda Isabella Moctezuma Md NPPES

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

SANANDA ISABELLA MOCTEZUMA MD (NPI 1083109912) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1083109912
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSANANDA ISABELLA MOCTEZUMACredential: MD
Location Address1000 10TH AVENew York, NY 10019-1147
Mailing Address1000 10th AveNew York, NY 10019-1147
Phone(212) 523-6800
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 23, 2018
Last NPPES UpdateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
✔ NPI 1083109912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License 97898 (GA)
1000 10TH AVE, New York, NY 10019
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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

Sananda Isabella Moctezuma 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 ID7012253982
PECOS Enrollment IDI20240612003889
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 4

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.

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.
36 services32 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.
24 services24 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
17 services17 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Emory Hillandale Hospital

Acute Care Hospitals · Lithonia, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110226
Location2801 Dekalb Medical ParkwayLithonia, GA 30058 · De Kalb County
Emergency services

Other Providers at the Same Location NPPES 20

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

LAUREN KRISTEN BOTERO MD
Internal Medicine (Hematology)
1000 10TH AVE
NEW YORK, NY 10019
New York County (212) 523-4000
JASMINE PARIS LORD MD
Student in an Organized Health Care Education/Training Program
1000 10TH AVE
NEW YORK, NY 10019
New York County (212) 523-6121
HOLLY D SHAN
Student in an Organized Health Care Education/Training Program
1000 10TH AVE
NEW YORK, NY 10019
New York County (212) 523-6121
RACHNA SULTANIAN MD
Emergency Medicine
1000 10TH AVE
NEW YORK, NY 10019
New York County (212) 523-6745
ANGELA TANGREDI MD
Pediatrics
1000 10TH AVE
NEW YORK, NY 10019
New York County (212) 523-6745
ALEXANDER VOLVOVSKY MD
Radiology (Diagnostic Radiology)
1000 10TH AVE, SUITE 4B14
NEW YORK, NY 10019
New York County (212) 536-6668
MISS JINCY THANKACHEN M.D.
Internal Medicine
1000 10TH AVE, ST. LUKE'S ROOSEVELT - DEPARTMENT OF INTERNAL MEDICINE
NEW YORK, NY 10019
New York County (212) 523-7321
SAMA ANSARI M.D.
Student in an Organized Health Care Education/Training Program
1000 10TH AVE
NEW YORK, NY 10019
New York County (212) 523-4000

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 Sananda Moctezuma's NPI number?

The NPI number for Sananda Moctezuma is 1083109912. It was assigned to this individual provider in the NPPES registry on June 23, 2018.

Where is Sananda Moctezuma located?

Sananda Moctezuma practices at 1000 10th Ave, New York, NY 10019. The listed phone number is (212) 523-6800.

What is Sananda Moctezuma's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sananda Moctezuma enrolled in Medicare?

Yes. Sananda Moctezuma 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.

Is Sananda Moctezuma affiliated with any hospitals?

According to CMS data, Sananda Moctezuma is affiliated with Emory University Hospital, Emory Decatur Hospital, Emory University Hospital Midtown, Saint Joseph's Hospital Of Atlanta, Inc and Emory Hillandale Hospital.

When was this NPI record last updated?

The NPPES record for Sananda Moctezuma was last updated on January 16, 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.