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

SEPIDEH FARZIN MOGHADAM MD
NPI 1508020017
Internal Medicine - Gastroenterology in San Antonio, TX

Q: What is Sepideh Farzin Moghadam's NPI number?

The NPI number for Sepideh Farzin Moghadam is 1508020017. It was assigned to this individual provider in the NPPES registry on July 14, 2008.

Q: What is Sepideh Farzin Moghadam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since July 14, 2008PECOS Enrolled

87.95/100

CMS Quality Rating

4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-4000(210) 358-4775 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 27, 2026, May 27, 2026, Dec 12, 2025 and 6 more (9 updates tracked since 2016).

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About Sepideh Farzin Moghadam Md NPPES

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

SEPIDEH FARZIN MOGHADAM MD (NPI 1508020017) is an individual gastroenterology provider in San Antonio, Texas, licensed in Texas (W1039) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Owensboro Health Regional Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1508020017

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameSEPIDEH FARZIN MOGHADAMCredential: MD

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402

Mailing Address4502 Medical DrSan Antonio, TX 78229-4402 · (210) 358-4000 · Fax (210) 358-4775

Phone(210) 358-4000

Fax(210) 358-4775

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJuly 14, 2008

Last NPPES UpdateAugust 27, 20269 updates tracked since enumeration

NPPES CertifiedAugust 27, 2026

✔ NPI 1508020017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in TX · W1039✔ Licensed in KY · C4224✔ Licensed in OH · 35.127346✔ Licensed in IN · 01073455A

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

4502 MEDICAL DR, San Antonio, TX 78229

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Secondary Practice Locations 3

Location 18300 Floyd Curl DrSan Antonio, TX 78229-3931 · Phone (210) 644-9300 · Fax (210) 644-9307

Location 27979 Wurzbach RdSan Antonio, TX 78229-4427 · Phone (210) 743-4324 · Fax (210) 702-4136

Location 3903 W Martin St # MS 49-2San Antonio, TX 78207-0903 · Phone (210) 358-3400 · Fax (210) 358-6777

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.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

Sepideh Farzin Moghadam Md 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 ID9335304583

PECOS Enrollment IDI20250730004116, I20251223001294

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.

Hospital Affiliations CMS Care Compare 2

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

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180038

Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County

Emergency services Birthing friendly

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450862

Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.04

Promoting Interoperability

100

Improvement Activities

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.

EDUARDO N. POLLONO MD

Internal Medicine (Cardiovascular Disease)