DR. MARYAM LEE MOGHADDAM DO
NPI 1811958424
Obstetrics & Gynecology in Maple Grove, MN
About Dr. Maryam Lee Moghaddam Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARYAM LEE MOGHADDAM DO (NPI 1811958424) is an individual obstetrics & gynecology provider in Maple Grove, Minnesota, licensed in Minnesota (31579) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1984).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted 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
Dr. Maryam Lee Moghaddam Do 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.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55369 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
MAPLE GROVE, MN 55369
MAPLE GROVE, MN 55369
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 Maryam Moghaddam's NPI number?
The NPI number for Maryam Moghaddam is 1811958424. It was assigned to this individual provider in the NPPES registry on March 31, 2006.
Where is Maryam Moghaddam located?
Maryam Moghaddam practices at 14500 99th Ave N, Maple Grove, MN 55369. The listed phone number is (763) 898-1000.
What is Maryam Moghaddam's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Maryam Moghaddam enrolled in Medicare?
Yes. Maryam Moghaddam 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.
What insurance does Maryam Moghaddam accept?
Health plans from Medica and Sanford Health Plan list Maryam Moghaddam 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 Maryam Moghaddam was last updated on February 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Maryam Lee Moghaddam, DO · NPI 1811958424
Obstetrics & Gynecology physician in Maple Grove, Minnesota. Individual provider, active in the CMS NPPES registry since March 31, 2006.
## Identity
- **NPI:** 1811958424 (Entity type: Individual)
- **Enumerated:** March 31, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 31579 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 14500 99TH AVE N, Maple Grove, MN 55369-4730
- **Phone:** (763) 898-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Iowa, Rj & L Carver College Of Medicine, class of 1984
## Record status
- **NPPES last updated:** February 7, 2013
- **Other identifiers:** Medicare ID-Type Unspecified 160000936; Medicaid 309397200 (MN); Medicare UPIN E22960
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Source: [NPI Profile](https://npiprofile.com/npi/1811958424) · Data from the CMS NPPES public registry.