FARNAZ NANI MOAZZAM (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1487669735
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,422 GENERAL SURGERY in IL
Provider Addresses for FARNAZ NANI MOAZZAM (M.D.)
1001 Main St
SUITE 300
Peoria, IL 616061907
Phone: (309) 495-0200
Fax: (309) 353-4380
Type: Location
1001, Main Street, Roanoke-Randolph Street Historic District, Peoria, Peoria County, Illinois, 61606, United States
SUITE 300
PEORIA, IL 616061907
Phone: (309) 495-0200
Fax: (309) 353-4380
Type: Location
600 S 13TH ST
# I
PEKIN, IL 615544936
Phone: (309) 495-0200
Fax: (309) 353-4380
Type: Location
Pekin Hospital, 600, South 13th Street, Pekin, Tazewell County, Illinois, 61554, United States
# I
PEKIN, IL 615544936
Phone: (309) 495-0200
Fax: (309) 353-4380
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $1,310.
Total Amount is formed as General ($1,310) + Research ($0) + Ownership ($0) = $1,310.
Last reported payment date: 2024-07-12 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($447).
Total Amount
$1,310
General + Research + Ownership
Payments
15
Total payment records
General Amount
$1,310
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| W. L. Gore & Associates, Inc. | $447 |
| Davol Inc. | $244 |
| Intuitive Surgical, Inc. | $135 |
| CONMED Corporation | $124 |
| Boston Scientific Corporation | $105 |
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: 2009-05-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090515000410 | I | General Surgery | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 34 | 29 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 21 | 21 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 12 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 19 | 19 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 15 | 15 | $0 |
Insurance plans in this area (ZIP 61606)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Emergency Medicine | IL | |
| Nurse Practitioner | IL | |
| Vascular Surgery, General Surgery | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Vascular Surgery | IL | |
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.