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DR. FERESHTEH MOMENI M.D.
NPI 1669454518
Psychiatry & Neurology - Psychiatry in Medical Lake, WA

Active since November 16, 2005PECOS Enrolled
850 MAPLE STREET, MEDICAL LAKE, WA 99022(509) 565-4000(509) 565-4705 Get Directions Write a Review

NPPES record last updated: May 27, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Fereshteh Momeni M.d. NPPES

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

DR. FERESHTEH MOMENI M.D. (NPI 1669454518) is an individual psychiatry provider in Medical Lake, Washington, licensed in Washington (MD00040000) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669454518
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. FERESHTEH MOMENICredential: M.D.
Location Address850 MAPLE STREETMedical Lake, WA 99022-0800
Mailing AddressP.o. Box 800, 850 Maple StreetMedical Lake, WA 99022-0800 · (509) 565-4000 · Fax (509) 565-4705
Phone(509) 565-4000
Fax(509) 565-4705
Sole ProprietorNo
Enumeration DateNovember 16, 2005
Last NPPES UpdateMay 27, 2015
✔ NPI 1669454518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WA · MD00040000
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
850 MAPLE STREET, Medical Lake, WA 99022
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Other Identifiers 3

Medicaid8281818WA
Medicare PINAB22919WA
Medicare UPINH34009WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Fereshteh Momeni M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Fereshteh Momeni reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Department Of Social Dept Of Shs Div Of Instns
Same address
Psychiatric Hospital
850 MAPLE ST
Medical Lake, WA 99022
  • Reassigned Medicare billing, Washington enrollment
  • 57 clinicians in this Medicare group
NPI 1467440602 (509) 565-4000

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

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
64 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99022 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
$172.80 typical visit price
range $57.27 – $172.80
Typical copayment $43.20 (range $14.31 – $43.20)
Most-billed visit code 99205
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

DR. DARLENE E. WALSH-MARTIN PHD
Psychologist
850 MAPLE STREET, EASTERN STATE HOSPITAL
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
DR. SAMAYA CASSANDRA LOVEGOOD M.D.
Psychiatry & Neurology (Psychiatry)
850 MAPLE STREET
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
CHRISTINA L. ZAMPICH PSYD
Psychologist (Clinical)
850 MAPLE STREET
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
DR. SUZANNE D. PEREGOY D.O.
Family Medicine
850 MAPLE STREET
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
DR. PATRICIA L. GUNDERSON PHD
Psychologist (Clinical)
850 MAPLE STREET
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
DR. PIERRE JOHN SOFFE M.D.
Family Medicine
850 MAPLE STREET
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
DR. AVERLY H NELSON M.D.
Psychiatry & Neurology (Psychiatry)
850 MAPLE STREET, EASTERN STATE HOSPITAL
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
DR. GRANT F. RODKEY DMD
Dentist (General Practice)
850 MAPLE STREET, EASTERN STATE HOSPITAL
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000

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 Fereshteh Momeni's NPI number?

The NPI number for Fereshteh Momeni is 1669454518. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Fereshteh Momeni located?

Fereshteh Momeni practices at 850 Maple Street, Medical Lake, WA 99022. The listed phone number is (509) 565-4000.

What is Fereshteh Momeni's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Fereshteh Momeni enrolled in Medicare?

Yes. Fereshteh Momeni is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fereshteh Momeni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fereshteh Momeni reassigns Medicare benefits to Department Of Social Dept Of Shs Div Of Instns (Medical Lake, WA). 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 Fereshteh Momeni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Fereshteh Momeni was last updated on May 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.