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MOJDEH HEIDARI FNP
NPI 1306300397
Family Medicine in West Hartford, CT

Active since January 24, 2019PECOS EnrolledAccepts Medicare Assignment
10 PRINCETON ST, WEST HARTFORD, CT 06110(860) 707-5392 Get Directions Write a Review

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

About Mojdeh Heidari Fnp NPPES

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

MOJDEH HEIDARI FNP (NPI 1306300397) is an individual family medicine provider in West Hartford, Connecticut, licensed in Connecticut (106074) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306300397
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMOJDEH HEIDARICredential: FNP
Location Address10 PRINCETON STWest Hartford, CT 06110-1893
Mailing Address360 Bloomfield AveWindsor, CT 06095-2700 · (860) 707-5392
Phone(860) 707-5392
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 24, 2019
Last NPPES UpdateJanuary 25, 2024
NPPES CertifiedJanuary 25, 2024
✔ NPI 1306300397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CT · 106074
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.
10 PRINCETON ST, West Hartford, CT 06110
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Other Identifiers 1

Other106074CT · Rn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mojdeh Heidari Fnp 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 ID7719363514
PECOS Enrollment IDI20221003000236
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 Mojdeh Heidari reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ample Urgent And Primary Care LLC
Same address
Primary Care
10 PRINCETON ST
West Hartford, CT 06110
  • Reassigned Medicare billing, Connecticut enrollment
NPI 1497474191 (860) 707-5392

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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
152 services25 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.
26 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06110 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Other Providers at the Same Location NPPES 4

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

NEW HORIZON BEHAVIORAL HEALTH LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
10 PRINCETON ST
WEST HARTFORD, CT 06110
Capitol Planning Region (860) 707-5392
STUART R. LIFTIG D.M.D.
Dentist (General Practice)
10 PRINCETON ST
WEST HARTFORD, CT 06110
Capitol Planning Region (860) 232-8466
ELIZABETH ROMAC KARRENBERG D.P.M.
Podiatrist
10 PRINCETON ST
WEST HARTFORD, CT 06110
Capitol Planning Region (860) 233-1978
AMPLE URGENT AND PRIMARY CARE LLC
Clinic/Center (Primary Care)
10 PRINCETON ST
WEST HARTFORD, CT 06110
Capitol Planning Region (860) 707-5392

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 Mojdeh Heidari's NPI number?

The NPI number for Mojdeh Heidari is 1306300397. It was assigned to this individual provider in the NPPES registry on January 24, 2019.

Where is Mojdeh Heidari located?

Mojdeh Heidari practices at 10 Princeton St, West Hartford, CT 06110. The listed phone number is (860) 707-5392.

What is Mojdeh Heidari's specialty?

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

Is Mojdeh Heidari enrolled in Medicare?

Yes. Mojdeh Heidari 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.

Which organization bills Medicare for Mojdeh Heidari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mojdeh Heidari reassigns Medicare benefits to Ample Urgent And Primary Care LLC (West Hartford, CT). 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 Mojdeh Heidari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mojdeh Heidari accept?

Health plans from Anthem Blue Cross and Blue Shield list Mojdeh Heidari 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.

When was this NPI record last updated?

The NPPES record for Mojdeh Heidari was last updated on January 25, 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.