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DR. ALI SANEI MOGHADDAM MD, ABFM, CCFP, MRCS
NPI 1114502564
Family Medicine in Blaine, WA

Active since March 16, 2021PECOS Enrolled
5416 SNOW GOOSE LN UNIT 405, BLAINE, WA 98230(425) 515-9022(604) 200-5047 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 27, 2026, May 10, 2022, Mar 16, 2021 (3 updates tracked since 2021).

About Dr. Ali Sanei Moghaddam Md, Abfm, Ccfp, Mrcs NPPES

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

DR. ALI SANEI MOGHADDAM MD, ABFM, CCFP, MRCS (NPI 1114502564) is an individual family medicine provider in Blaine, Washington, licensed in Washington (MD61075057) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1114502564
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ALI SANEI MOGHADDAMCredential: MD, ABFM, CCFP, MRCS
Location Address5416 SNOW GOOSE LN UNIT 405Blaine, WA 98230-6316
Mailing Address5416 Snow Goose Ln Unit 405Blaine, WA 98230-6316 · (425) 515-9022 · Fax (604) 200-5047
Phone(425) 515-9022
Fax(604) 200-5047
Sole ProprietorYes
Enumeration DateMarch 16, 2021
Last NPPES UpdateApril 27, 20263 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1114502564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD61075057
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5416 SNOW GOOSE LN UNIT 405, Blaine, WA 98230
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Secondary Practice Locations 3

Location 1195 Page Mill Rd Ste 103Palo Alto, CA 94306-2073 · Phone (888) 731-8994
Location 2450 Alaskan Way S Ste 200Seattle, WA 98104-2785 · Phone (888) 731-8994
Location 31050 SW 6th Ave Ste 1100Portland, OR 97204-1153 · Phone (888) 731-8994

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ali Sanei Moghaddam Md, Abfm, Ccfp, Mrcs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Ali Sanei Moghaddam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peacehealth Networks On Demand, LLC
243 mi
General Practice
11958 SW GARDEN PL
Tigard, OR 97223
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • 87 clinicians in this Medicare group
NPI 1023582178 (503) 684-8252

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98230 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ali Sanei Moghaddam's NPI number?

The NPI number for Ali Sanei Moghaddam is 1114502564. It was assigned to this individual provider in the NPPES registry on March 16, 2021.

Where is Ali Sanei Moghaddam located?

Ali Sanei Moghaddam practices at 5416 Snow Goose Ln Unit 405, Blaine, WA 98230. The listed phone number is (425) 515-9022.

What is Ali Sanei Moghaddam's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ali Sanei Moghaddam enrolled in Medicare?

Yes. Ali Sanei Moghaddam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ali Sanei Moghaddam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ali Sanei Moghaddam reassigns Medicare benefits to Peacehealth Networks On Demand, LLC (Tigard, OR). 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 Ali Sanei Moghaddam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ali Sanei Moghaddam was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.