DR. ALI R MOAZZAMI MD
NPI 1720576168
Student in an Organized Health Care Education/Training Program in Rancho Mirage, CA

NPI Status: Active since May 01, 2018

Contact Information

39000 BOB HOPE DR
RANCHO MIRAGE, CA
ZIP 92270
Phone: (760) 340-8248

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  • Individual
  • Male
  • Years of Experience 11
  • Student in an Organized Health Care Educ...
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ALI MOAZZAMI

This page provides the complete NPI Profile along with additional information for Ali Moazzami, a primary care provider established in Rancho Mirage, California with a medical specialization in Student In An Organized Health Care Education/training Program and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1720576168 assigned on May 2018. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1720576168
Provider Name
DR. ALI R MOAZZAMI MD
Gender
Male
Entity Type
Individual
Location Address
39000 BOB HOPE DR RANCHO MIRAGE, CA 92270
Location Phone
(760) 340-8248
Mailing Address
39000 BOB HOPE DR RANCHO MIRAGE, CA 92270
Medical School Name
OTHER
Graduation Year
2015
Is Sole Proprietor?
No
Enumeration Date
05-01-2018
Last Update Date
11-30-2021
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A primary care provider (PCP) like Ali Moazzami sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

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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

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Ali Moazzami is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Ali Moazzami is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6002204187

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20211021002301

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. ALI R MOAZZAMI MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720576168
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
274010712112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 1 + 0 + 7 + 1 + 2 + 1 + 1 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1720576168 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1588666119 ANDREW J HAYDUKE M.D.
Individual
Plastic Surgery39000 BOB HOPE DR KIEWIT SUITE 206
RANCHO MIRAGE, CA 92270
(760) 341-6996
1356335251 DONNA LYNN WHITEHOUSE M.D.
Individual
Specialist39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
(760) 773-2006
1083609390DR. CHRISTINE LOUISE GRISWOLD MD
Individual
Obstetrics & Gynecology (Gynecology)39000 BOB HOPE DR KIEWIT 405
RANCHO MIRAGE, CA 92270
(760) 568-4343
1891786729DR. MOHAMAD KHALDOUN ALNABELSI MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)39000 BOB HOPE DR K208
RANCHO MIRAGE, CA 92270
(760) 773-5350
1225016074 V DOUGLAS JODOIN MD
Individual
Family Medicine39000 BOB HOPE DR W208
RANCHO MIRAGE, CA 92270
(760) 773-3950
1316918642DR. ANTHONY STEPHEN TORNAY JR. M.D.
Individual
Internal Medicine (Gastroenterology)39000 BOB HOPE DR P203
RANCHO MIRAGE, CA 92270
(760) 776-4280
1750352167 WILLIAM R PAGE MD
Individual
Urology39000 BOB HOPE DR WRIGHT BLDG., #412
RANCHO MIRAGE, CA 92270
(760) 346-8555
1124091772DR. JEFFREY HAROLD HERZ M.D.
Individual
Urology39000 BOB HOPE DR KIEWIT BLDG. STE. 401
RANCHO MIRAGE, CA 92270
(760) 346-1882
1891756227 THOMAS F MURPHY M.D.
Individual
Internal Medicine (Cardiovascular Disease)39000 BOB HOPE DR HAL B WALLIS
RANCHO MIRAGE, CA 92270
(760) 346-0642
1144283573MS. PAIGE H LARSON M.P.T.
Individual
Physical Therapist39000 BOB HOPE DR HARRY AND DIANE RINKER BLDG
RANCHO MIRAGE, CA 92270
(760) 766-2572
1033172051MARY A HOWELL MD A MEDICAL CORPORATION
Organization
Internal Medicine39000 BOB HOPE DR #P317
RANCHO MIRAGE, CA 92270
(760) 340-3611
1366406407 ROBERT P MACK M.D.
Individual
Orthopaedic Surgery39000 BOB HOPE DR HARRY & DIANE RINKER BUILDING
RANCHO MIRAGE, CA 92270
(760) 568-2684
1861459851DR. ALAN H. KISELSTEIN M.D.
Individual
Specialist39000 BOB HOPE DR PROBST PROFESSIONAL BLDG 312
RANCHO MIRAGE, CA 92270
(760) 346-7872
1518924091 PETER R SCHULZ MD
Individual
Surgery39000 BOB HOPE DR P 212
RANCHO MIRAGE, CA 92270
(760) 346-8771
1083664262 BAYANI V. EVANGELISTA M.D.
Individual
Radiology (Diagnostic Radiology)39000 BOB HOPE DR EISENHOWER IMAGING CENTER
RANCHO MIRAGE, CA 92270
(760) 340-3911
1982654166 JOHN SZABO M.D.
Individual
Radiology (Diagnostic Radiology)39000 BOB HOPE DR EISENHOWER IMAGING CENTER
RANCHO MIRAGE, CA 92270
(760) 340-3911
1811948227 JERRY Y. CHANG M.D.
Individual
Radiology (Diagnostic Radiology)39000 BOB HOPE DR EISENHOWER IMAGING CENTER
RANCHO MIRAGE, CA 92270
(760) 340-3911
1700837119 MORTON JAMES COHN M.D.
Individual
Radiology (Diagnostic Radiology)39000 BOB HOPE DR EISENHOWER IMAGING CENTER
RANCHO MIRAGE, CA 92270
(760) 340-3911
1275584633 RONALD L. BECKER M.D.
Individual
Radiology (Diagnostic Radiology)39000 BOB HOPE DR EISENHOWER IMAGING CENTER
RANCHO MIRAGE, CA 92270
(760) 340-3911
1144270794 KARIN L. FU M.D.
Individual
Radiology (Diagnostic Radiology)39000 BOB HOPE DR EISENHOWER IMAGING CENTER
RANCHO MIRAGE, CA 92270
(760) 340-3911

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720576168, enumerated in the NPI registry as an "individual" on May 01, 2018

The provider is located at 39000 Bob Hope Dr Rancho Mirage, Ca 92270 and the phone number is (760) 340-8248

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

The provider has more than 11 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on May 01, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.