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SASSAN TAGHIZADEHMOGHADDAM M.D.
NPI 1992722557
Internal Medicine in Washington, DC

Active since July 17, 2006PECOS EnrolledCLIA 09D1083088 · Waiver
1160 VARNUM ST NE STE 115, WASHINGTON, DC 20017(202) 269-4770(202) 269-4685 Get Directions Write a Review

NPPES record last updated: August 6, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sassan Taghizadehmoghaddam M.d. NPPES

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

SASSAN TAGHIZADEHMOGHADDAM M.D. (NPI 1992722557) is an individual internal medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (MD036189) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through April 24, 2028, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1992722557
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSASSAN TAGHIZADEHMOGHADDAMCredential: M.D.
Location Address1160 VARNUM ST NE STE 115Washington, DC 20017-2110
Mailing Address8050 Inverness Ridge RdPotomac, MD 20854-4011 · (301) 610-7504
Phone(202) 269-4770
Fax(202) 269-4685
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 17, 2006
Last NPPES UpdateAugust 6, 2013
✔ NPI 1992722557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in DC · MD036189
Definition
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.
1160 VARNUM ST NE STE 115, Washington, DC 20017
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sassan Taghizadehmoghaddam M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385746635
PECOS Enrollment IDI20070216000566, I20250711001695
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 Sassan Taghizadehmoghaddam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Primary Care LLC
33 mi
Internal Medicine
3546 WORTHINGTON BLVD UNIT 301
Frederick, MD 21704
  • Reassigned Medicare billing, Maryland enrollment
  • 4 clinicians in this Medicare group
NPI 1568275600 (301) 979-9772

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 09D1083088

Sassan Taghizadeh MD · Washington, DC
Active · expires Apr 24, 2028
CLIA Number09D1083088
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2026
Certificate Expiration DateApril 24, 2028
Laboratory DirectorSassan M. Taghizadeh
Laboratory Phone(202) 269-4770
Laboratory LocationSassan Taghizadeh MD1160 Varnum Street NE #115, Washington, DC 20017
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
374 services116 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
71 services71 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
56 services56 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
35 services35 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
32 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20017 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
2%167 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
31%1,119 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%3,537 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
6%369 patients1/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%319 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%293 patients5/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
26%289 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
34%215 patients2/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 88% · 267 patients
98%267 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
6%293 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%293 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers17 claims66 services$6.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Sassan Taghizadehmoghaddam's NPI number?

The NPI number for Sassan Taghizadehmoghaddam is 1992722557. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Sassan Taghizadehmoghaddam located?

Sassan Taghizadehmoghaddam practices at 1160 Varnum St NE Ste 115, Washington, DC 20017. The listed phone number is (202) 269-4770.

What is Sassan Taghizadehmoghaddam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sassan Taghizadehmoghaddam enrolled in Medicare?

Yes. Sassan Taghizadehmoghaddam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sassan Taghizadehmoghaddam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sassan Taghizadehmoghaddam reassigns Medicare benefits to Premier Primary Care LLC (Frederick, MD). 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 Sassan Taghizadehmoghaddam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Sassan Taghizadehmoghaddam hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 09D1083088) is associated with this NPI, valid through April 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sassan Taghizadehmoghaddam was last updated on August 6, 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.