HASSAN SHEIKH MOGHADDAS (M.D) – Surgery Physician, NPI 1124469838

HASSAN SHEIKH MOGHADDAS (M.D) is a healthcare provider. based in Clearlake, California. specializing in GENERAL SURGERY. They hold the professional credentials M.D. They hold a License No. MT207360 (PA). The NPI Number for HASSAN SHEIKH MOGHADDAS (M.D) is 1124469838

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
HASSAN SHEIKH MOGHADDAS (M.D)
NPI
1124469838
Phone
(707) 461-7986
Address
15332 LAKESHORE DR STE 101
Enumeration Date
10 July 2013
Last Update Date
26 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7079946486
Graduation Year
2011 (15 years ago)
PAC ID
0244451078
Group Practice PAC ID
3072421197
Professional Enrollment ID
I20180719001665
Address ID
CA954229336CL15630AVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:12State licenses:2Digital endpointsOther names

3,317 GENERAL SURGERY in CA

Provider Addresses for HASSAN SHEIKH MOGHADDAS (M.D)

  • 15332 LAKESHORE DR STE 101

    CLEARLAKE, CA 95422

    Phone: (707) 461-7986

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $63.

Total Amount is formed as General ($63) + Research ($0) + Ownership ($0) = $63.

Last reported payment date: 2024-05-21 • Largest payer in this snapshot: Medtronic, Inc. ($34).

Total Amount

$63

General + Research + Ownership

Payments

2

Total payment records

General Amount

$63

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-07-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180719001665IGeneral SurgeryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
45380Biopsy of large bowel using a flexible endoscope4848$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope4343$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3413$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare2525$0
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk2323$0
View full utilization report →

Insurance plans in this area (ZIP 95422)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072421197View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Clinical Social WorkerCA
Nurse PractitionerCA
Nurse PractitionerCA
Diagnostic RadiologyCA
Clinical Social WorkerCA
Diagnostic RadiologyCA
N E U R O L O G YCT
Clinical PsychologistWA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Is HASSAN SHEIKH MOGHADDAS (M.D) listed with a National Provider Identifier?
Yes — HASSAN SHEIKH MOGHADDAS (M.D) has NPI 1124469838 on file in the registry.
Active or inactive — what applies to HASSAN SHEIKH MOGHADDAS (M.D)?
You should see HASSAN SHEIKH MOGHADDAS (M.D) as active in CMS-hosted NPPES data.
What area of care is associated with HASSAN SHEIKH MOGHADDAS (M.D)?
HASSAN SHEIKH MOGHADDAS (M.D)'s record emphasizes Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with HASSAN SHEIKH MOGHADDAS (M.D)?
Directory geography for HASSAN SHEIKH MOGHADDAS (M.D) centers on Clearlake, California.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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