MOJGAN PEDRAM
NPI 1124749577
Physician Assistant in Houston, TX

Q: What is Mojgan Pedram's NPI number?

The NPI number for Mojgan Pedram is 1124749577. It was assigned to this individual provider in the NPPES registry on September 5, 2022.

Q: What is Mojgan Pedram's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mojgan Pedram was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since September 05, 2022PECOS EnrolledAccepts Medicare Assignment

6400 FANNIN ST STE 2500, HOUSTON, TX 77030(713) 486-5075 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2024, Jun 26, 2024, May 18, 2023 and 1 more (4 updates tracked since 2022).

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About Mojgan Pedram NPPES

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

MOJGAN PEDRAM (NPI 1124749577) is an individual physician assistant in Houston, Texas, licensed in Texas (PA17872) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1124749577

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMOJGAN PEDRAM

Location Address6400 FANNIN ST STE 2500Houston, TX 77030-1537

Mailing Address3395 Michelson Dr Apt 5201Irvine, CA 92612-3435

Phone(713) 486-5075

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 5, 2022

Last NPPES UpdateOctober 25, 20244 updates tracked since enumeration

NPPES CertifiedOctober 25, 2024

✔ NPI 1124749577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA17872

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6400 FANNIN ST STE 2500, Houston, TX 77030

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Secondary Practice Locations 2

Location 1140 E Commonwealth Ave Ste 100Fullerton, CA 92832-1905 · Phone (714) 572-3900

Location 2309 E 2nd StPomona, CA 91766-1854 · Phone (909) 623-6116

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.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

Mojgan Pedram 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 ID1658746276

PECOS Enrollment IDI20240604004243

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 2

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

49 services49 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

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 20

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

AISHWARYA KOTHARE MD

Student in an Organized Health Care Education/Training Program