MOAZAM J SAMDANI MD SC
NPI 1912078007
Internal Medicine in Watertown, WI

Active since November 13, 2006
123 HOSPITAL DR, #214, WATERTOWN, WI 53098(920) 261-3333(920) 261-6955 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Internal Medicine

About MOAZAM J SAMDANI MD SC

This page provides the complete NPI Profile along with additional information for Moazam J Samdani Md Sc, an internist established in Watertown, Wisconsin operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1912078007 assigned on November 2006. The practitioner's primary taxonomy code is 207R00000X with license number 19713 (WI). The provider is registered as an organization and their NPI record was last updated 6 years ago. Moazam J Samdani Md Sc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Moazam J Samdani Md (President)

NPI
1912078007 Verify this NPI
Provider Name
MOAZAM J SAMDANI MD SC
Entity Type
Organization
Location Address
123 HOSPITAL DR #214 WATERTOWN, WI 53098
Location Phone
(920) 261-3333
Location Fax
(920) 261-6955
Mailing Address
123 HOSPITAL DR #214 WATERTOWN, WI 53098
Mailing Phone
(920) 261-3333
Mailing Fax
(920) 261-6955
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-13-2006
Last Update Date
08-22-2020
Code Navigator

An internist like Moazam J Samdani Md Sc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
19713
License State
WI
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MOAZAM J SAMDANI MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(920) 261-3333

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
80OTHER (01)WIDEAN HEALTH PLAN
31092300MEDICAID (05)WI 
1000279OTHER (01)WIPHYSICIANS PLUS HMO

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Ophthalmology
123 HOSPITAL DR, SUITE 1002
WATERTOWN, WI 53098
Ophthalmology
123 HOSPITAL DR, STE 1002
WATERTOWN, WI 53098
Orthopaedic Surgery
123 HOSPITAL DR, SUITE 1008
WATERTOWN, WI 53098
Internal Medicine
123 HOSPITAL DR, SUITE 2009
WATERTOWN, WI 53098
Surgery
123 HOSPITAL DR, SUITE 2006
WATERTOWN, WI 53098
Dietitian, Registered (Nutrition, Renal)
123 HOSPITAL DR, STE 1004
WATERTOWN, WI 53098
Physical Therapist
123 HOSPITAL DR, SUITE1009
WATERTOWN, WI 53098
Physician Assistant
123 HOSPITAL DR, SUITE 2004
WATERTOWN, WI 53098
Internal Medicine (Cardiovascular Disease)
123 HOSPITAL DR
WATERTOWN, WI 53098
Dentist (General Practice)
123 HOSPITAL DR, SUITE 201
WATERTOWN, WI 53098
Family Medicine
123 HOSPITAL DR, STE 2004
WATERTOWN, WI 53098
Internal Medicine
123 HOSPITAL DR
WATERTOWN, WI 53098
Optometrist
123 HOSPITAL DR, STE 1002
WATERTOWN, WI 53098
Orthopaedic Surgery (Sports Medicine)
123 HOSPITAL DR, SUITE 1008
WATERTOWN, WI 53098
Orthopaedic Surgery
123 HOSPITAL DR, SUITE 1008
WATERTOWN, WI 53098
Hearing Aid Equipment
123 HOSPITAL DR, STE 112
WATERTOWN, WI 53098
Urology
123 HOSPITAL DR, STE 2006
WATERTOWN, WI 53098
Psychiatry & Neurology (Neurology)
123 HOSPITAL DR, STE 2002
WATERTOWN, WI 53098
Ophthalmology
123 HOSPITAL DR, SUITE 1002
WATERTOWN, WI 53098
Orthopaedic Surgery
123 HOSPITAL DR, SUITE 1008
WATERTOWN, WI 53098

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912078007, enumerated as an "organization" on November 13, 2006.

The provider is located at 123 HOSPITAL DR #214 WATERTOWN, WI 53098 and the phone number is (920) 261-3333.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.