MOHAMADREZA MOGHADAM
NPI 1972463495
Physical Therapist in Costa Mesa, CA
About Mohamadreza Moghadam NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOHAMADREZA MOGHADAM (NPI 1972463495) is an individual physical therapist in Costa Mesa, California, licensed in California (309233) and active in the NPI registry since November 2025. He is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
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
Mohamadreza Moghadam 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.
Medicare Billing Reassignment
Medicare enrollment records show Mohamadreza Moghadam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Costa Mesa, CA 92626
- Reassigned Medicare billing, California enrollment
- 111 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92626 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
COSTA MESA, CA 92626
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 Mohamadreza Moghadam's NPI number?
The NPI number for Mohamadreza Moghadam is 1972463495. It was assigned to this individual provider in the NPPES registry on November 17, 2025.
Where is Mohamadreza Moghadam located?
Mohamadreza Moghadam practices at 2777 Bristol St Ste B, Costa Mesa, CA 92626. The listed phone number is (949) 250-1112.
What is Mohamadreza Moghadam's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Mohamadreza Moghadam enrolled in Medicare?
Yes. Mohamadreza Moghadam 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 organization bills Medicare for Mohamadreza Moghadam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mohamadreza Moghadam reassigns Medicare benefits to Prosport Physical Therapy Professionals Inc (Costa Mesa, CA). 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 Mohamadreza Moghadam'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 Mohamadreza Moghadam was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.