Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MOHAMMAD REZA ROSHANDEL MOGHADDAM MD
NPI 1447946645
Urology in Decatur, IL

Active since April 12, 2023
2 MEMORIAL DR FL 3, DECATUR, IL 62526(217) 872-2711(217) 876-1958 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 16, 2026, Nov 30, 2025, Jun 12, 2025 and 1 more (4 updates tracked since 2023).

About Dr. Mohammad Reza Roshandel Moghaddam Md NPPES

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

DR. MOHAMMAD REZA ROSHANDEL MOGHADDAM MD (NPI 1447946645) is an individual urology provider in Decatur, Illinois, licensed in Illinois (036.181271) and active in the NPI registry since April 2023. He maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1447946645
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. MOHAMMAD REZA ROSHANDEL MOGHADDAMCredential: MD
Location Address2 MEMORIAL DR FL 3Decatur, IL 62526-3950
Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-8000 · Fax (844) 470-2486
Fax(217) 876-1958
Sole ProprietorNo
Enumeration DateApril 12, 2023
Last NPPES UpdateOctober 16, 20264 updates tracked since enumeration
NPPES CertifiedOctober 16, 2026
✔ NPI 1447946645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in IL · 036.181271
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2 MEMORIAL DR FL 3, Decatur, IL 62526

Other Names 1

Professional Name (2)Dr. M. Reza Roshandel Md

Secondary Practice Location 1

Location 1171 Ashley AveCharleston, SC 29425-1530 · Phone (843) 792-1414

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 Mohammad Reza Roshandel Moghaddam's NPI number?

The NPI number for Mohammad Reza Roshandel Moghaddam is 1447946645. It was assigned to this individual provider in the NPPES registry on April 12, 2023. The provider is also known as Dr. M. Reza Roshandel MD.

Where is Mohammad Reza Roshandel Moghaddam located?

Mohammad Reza Roshandel Moghaddam practices at 2 Memorial Dr Fl 3, Decatur, IL 62526. The listed phone number is (217) 872-2711.

What is Mohammad Reza Roshandel Moghaddam's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Mohammad Reza Roshandel Moghaddam was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.