Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KHADIJA JOY MOUSSADEK MD
NPI 1194657957
Student in an Organized Health Care Education/Training Program in Providence, RI

Q: What is Khadija Moussadek's NPI number?

The NPI number for Khadija Moussadek is 1194657957. It was assigned to this individual provider in the NPPES registry on June 3, 2026.

Q: What is Khadija Moussadek's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Khadija Moussadek was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 03, 2026PECOS Enrolled

593 EDDY ST, PROVIDENCE, RI 02903(401) 444-4741(401) 444-4445 Get Directions Write a Review

NPPES record added: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Khadija Joy Moussadek Md NPPES

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

KHADIJA JOY MOUSSADEK MD (NPI 1194657957) is an individual student in an organized health care education/training program in Providence, Rhode Island, licensed in Rhode Island (CLP07015) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194657957

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKHADIJA JOY MOUSSADEKCredential: MD

Location Address593 EDDY STProvidence, RI 02903-4923

Mailing Address593 Eddy StProvidence, RI 02903-4923 · (401) 444-4741 · Fax (401) 444-4445

Phone(401) 444-4741

Fax(401) 444-4445

Sole ProprietorNo

Enumeration DateJune 3, 2026

NPPES CertifiedJune 3, 2026

✔ NPI 1194657957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in RI · CLP07015

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.

593 EDDY ST, Providence, RI 02903

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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 (PECOS)

Khadija Joy Moussadek Md 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.

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.

DR. KEITH-AUSTIN SCARFO D.O.

Anesthesiology

593 EDDY ST, APC 6
PROVIDENCE, RI 02903

Providence County (401) 444-3777

AILEEN HSUEH

Surgery

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-8450

RHODE ISLAND HOSPITAL

General Acute Care Hospital

593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903

Providence County (401) 444-7585

DR. GA HIE NAM M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-5057

EUGENIE ATALLAH

Psychiatry & Neurology (Neurology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 606-2645

BRIAN CAO MD

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 606-4286

BRET CAULFIELD

Physician Assistant

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-4000

JUNG HO GONG

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 793-2695

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 Khadija Moussadek's NPI number?

The NPI number for Khadija Moussadek is 1194657957. It was assigned to this individual provider in the NPPES registry on June 3, 2026.

Where is Khadija Moussadek located?

Khadija Moussadek practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-4741.

What is Khadija Moussadek's specialty?

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

Is Khadija Moussadek enrolled in Medicare?

Yes. Khadija Moussadek is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Khadija Moussadek was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.