FARNAZ NANI MOAZZAM M.D.
NPI 1487669735
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Pekin, IL

Q: What is Farnaz Moazzam's NPI number?

The NPI number for Farnaz Moazzam is 1487669735. It was assigned to this individual provider in the NPPES registry on July 29, 2006.

Q: What is Farnaz Moazzam's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Farnaz Moazzam was last updated on January 13, 2025. 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 July 29, 2006PECOS EnrolledAccepts Medicare Assignment

600 S 13TH ST, # I, PEKIN, IL 61554(309) 495-0200(309) 353-4380 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Farnaz Nani Moazzam M.d. NPPES

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

FARNAZ NANI MOAZZAM M.D. (NPI 1487669735) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Pekin, Illinois, licensed in Illinois (036101798) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1487669735

Entity TypeIndividualFemale

Primary Taxonomy208G00000X

Provider Legal NameFARNAZ NANI MOAZZAMCredential: M.D.

Location Address600 S 13TH ST, # IPekin, IL 61554-4936

Mailing Address600 S 13th St, # IPekin, IL 61554-4936 · (309) 495-0200 · Fax (309) 353-4380

Phone(309) 495-0200

Fax(309) 353-4380

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 1997

Enumeration DateJuly 29, 2006

Last NPPES UpdateJanuary 13, 2025

NPPES CertifiedJanuary 13, 2025

✔ NPI 1487669735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in IL · 036101798

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

600 S 13TH ST, Pekin, IL 61554

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Secondary Practice Location 1

Location 11001 Main St, SUITE 300Peoria, IL 61606-1907 · Phone (309) 495-0200 · Fax (309) 353-4380

Other Identifiers 1

Medicaid036101798IL

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

Farnaz Nani Moazzam M.d. 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 ID1557410867

PECOS Enrollment IDI20090515000410

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 Reassignments

Medicare enrollment records show Farnaz Moazzam reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pekin Prohealth Inc

Same address

Family Medicine

600 S 13TH ST, SUITE M
Pekin, IL 61554

Reassigned Medicare billing, Illinois enrollment
142 clinicians in this Medicare group

NPI 1932150299 (309) 353-0825

Graham Hospital Association

9.5 mi

Rural Health

201 E MAIN ST
Glasford, IL 61533

Reassigned Medicare billing, Illinois enrollment
134 clinicians in this Medicare group

NPI 1104604529 (309) 647-0201

Mason Hospital District

13 mi

Family Medicine

1301 S EAST AVE
Manito, IL 61546

Reassigned Medicare billing, Illinois enrollment
56 clinicians in this Medicare group

NPI 1902340748 (309) 968-5311

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 3

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

46 services46 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

38 services38 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

15 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Graham Hospital Association

Acute Care Hospitals · Canton, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140001

Location210 West Walnut StreetCanton, IL 61520 · Fulton County

Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140067

Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County

Emergency services Birthing friendly

Mason District Hospital

Critical Access Hospitals · Havana, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141313

Location615 North Promenade Street,p O Box 530Havana, IL 62644 · Mason County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61554 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

$168.44 typical visit price

range $54.80 – $168.44

Typical copayment $42.11 (range $13.70 – $42.11)

Most-billed visit code 99205

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

EPSS LLC - CENTRAL SERIES

Emergency Medicine

600 S 13TH ST
PEKIN, IL 61554

Tazewell County (817) 451-4208

MAYCLARE III PC

Internal Medicine

600 S 13TH ST, SUITE E
PEKIN, IL 61554

Tazewell County (309) 353-0473

PEKIN MEMORIAL HOSPITAL

Skilled Nursing Facility

600 S 13TH ST
PEKIN, IL 61554

Tazewell County (309) 353-0756

MARIA RHODORA KABATAY-LEE HO MD

Family Medicine

600 S 13TH ST, SUITE I
PEKIN, IL 61554

Tazewell County (309) 346-1102

MRS. EMMY M THIES BS, RD, LDN

Dietitian, Registered

600 S 13TH ST
PEKIN, IL 61554

Tazewell County (309) 353-0508

PEKIN MEMORIAL HOSPITAL

General Acute Care Hospital

600 S 13TH ST
PEKIN, IL 61554

Tazewell County (309) 347-1151

DR. ADRIENNE Y WILLIAMS M.D.

Anesthesiology

600 S 13TH ST
PEKIN, IL 61554

Tazewell County (309) 347-1151

MICHAEL P HONAN M.D.

Internal Medicine

600 S 13TH ST, SUITE E
PEKIN, IL 61554

Tazewell County (309) 353-0473

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 Farnaz Moazzam's NPI number?

The NPI number for Farnaz Moazzam is 1487669735. It was assigned to this individual provider in the NPPES registry on July 29, 2006.

Where is Farnaz Moazzam located?

Farnaz Moazzam practices at 600 S 13th St # I, Pekin, IL 61554. The listed phone number is (309) 495-0200.

What is Farnaz Moazzam's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Farnaz Moazzam enrolled in Medicare?

Yes. Farnaz Moazzam 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 organizations bill Medicare for Farnaz Moazzam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Farnaz Moazzam reassigns Medicare benefits to 3 organizations: Pekin Prohealth Inc (Pekin, IL), Graham Hospital Association (Glasford, IL) and Mason Hospital District (Manito, IL). Each 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 Farnaz Moazzam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Farnaz Moazzam affiliated with any hospitals?

According to CMS data, Farnaz Moazzam is affiliated with Graham Hospital Association, Saint Francis Medical Center and Mason District Hospital.

When was this NPI record last updated?

The NPPES record for Farnaz Moazzam was last updated on January 13, 2025. 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.