MR. MOINUDDIN KAZI (MD) – Family Medicine Physician, NPI 1487746483

MR. MOINUDDIN KAZI (MD) is a healthcare provider. based in Smyrna, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. GA 042868 (GA). The NPI Number for MR. MOINUDDIN KAZI (MD) is 1487746483

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
MR. MOINUDDIN KAZI (MD)
NPI
1487746483
Phone
(770) 434-5061
Address
2803 PRIESTCLIFF DR
Enumeration Date
28 September 2006
Last Update Date
8 December 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704588929
Graduation Year
1989 (37 years ago)
PAC ID
3678589975
Group Practice PAC ID
0345493375
Professional Enrollment ID
I20060223000496
Address ID
GA303412799CH5001XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:19State licenses:2Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

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Provider Addresses for MR. MOINUDDIN KAZI (MD)

  • Priestcliff Drive Southeast, Smyrna, Cobb, Georgia, 30080, United States

    SMYRNA, GA 30080

    Phone: (770) 434-5061

    Type: Mailing

  • 4480, North Shallowford Road, Huntley Hills, Dunwoody, DeKalb County, Georgia, 30338, United States

    STE 200

    DUNWOODY, GA 30338

    Phone: (770) 455-8285

    Fax: (770) 350-8973

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-02-23

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
I20060223000496IFamily PracticeGATBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg77877$0
99214Established patient office or other outpatient visit, 30-39 minutes176151$0
96372Injection of drug or substance under skin or into muscle165123$0
J0696Injection, ceftriaxone sodium, per 250 mg13334$0
87804Detection test by immunoassay with direct visual observation for influenza virus12258$0
View full utilization report →

Insurance plans in this area (ZIP 30080)

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Provider's Procedures

MR. MOINUDDIN KAZI (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEGA93922Ultrasound study of arteries of both arms and legs103101

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: 0345493375View full group profile
NameSpecialtyState
Family PracticeGA
Nurse PractitionerGA
Nurse PractitionerGA
-GA
Nurse PractitionerGA
Internal Medicine, Emergency MedicineMI
Nurse PractitionerAL
Nurse PractitionerGA
Nurse PractitionerAL
-GA

Reviews

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Frequently asked questions

How do payers reference MR. MOINUDDIN KAZI (MD)?
For MR. MOINUDDIN KAZI (MD), use NPI 1487746483 as the unique 10-digit identifier.
Active or inactive — what applies to MR. MOINUDDIN KAZI (MD)?
You should see MR. MOINUDDIN KAZI (MD) as active in CMS-hosted NPPES data.
What kind of doctor is MR. MOINUDDIN KAZI (MD)?
MR. MOINUDDIN KAZI (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MR. MOINUDDIN KAZI (MD)?
Directory geography for MR. MOINUDDIN KAZI (MD) centers on Smyrna, Georgia.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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