DR. SASAN MOSHIRZADEH (M.D) – Neurology Physician, NPI 1689023186

DR. SASAN MOSHIRZADEH (M.D) is a healthcare provider. based in Rolla, Missouri. specializing in NEUROLOGY. They hold the professional credentials M.D. They hold a License No. 69045 (MN). The NPI Number for DR. SASAN MOSHIRZADEH (M.D) is 1689023186

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. SASAN MOSHIRZADEH (M.D)
NPI
1689023186
Phone
(573) 458-8899
Address
1000 W 10th St
Enumeration Date
7 June 2016
Last Update Date
10 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5733649000
Graduation Year
2003 (23 years ago)
PAC ID
3173815867
Group Practice PAC ID
2860391158
Professional Enrollment ID
I20240326001221
Address ID
MO654012905RO1050XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

811 NEUROLOGY in MO

Provider Addresses for DR. SASAN MOSHIRZADEH (M.D)

  • 1000 W 10th St

    Rolla, MO 654012905

    Phone: (573) 458-8899

    Fax: (573) 341-5611

    Type: Location

  • 9, Saint Antoine Street, Renaissance Center, Detroit, Wayne County, Michigan, 48226, United States

    DETROIT, MI 482012153

    Phone: (313) 745-1540

    Type: Mailing

  • 101 WILLMAR AVE SW

    WILLMAR, MN 562013556

    Phone: (320) 231-5000

    Type: Mailing

  • 1050 W 10TH ST

    ROLLA, MO 654012905

    Phone: (573) 364-9000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $926.

Total Amount is formed as General ($926) + Research ($0) + Ownership ($0) = $926.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: UCB, Inc. ($203).

Total Amount

$926

General + Research + Ownership

Payments

30

Total payment records

General Amount

$926

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2024-03-26

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
I20240326001221INeurologyMOTBD

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
J0585Injection, onabotulinumtoxina, 1 unit48,21581$0
95886Needle measurement of electrical activity in arm or leg muscles, complete study471205$0
99213Established patient office or other outpatient visit, 20-29 minutes246179$0
95911Nerve conduction, 9-10 studies233201$0
95874Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle16766$0
View full utilization report →

Insurance plans in this area (ZIP 65401)

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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: 2860391158View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMO
Internal MedicineMO
Nurse PractitionerMO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
Interventional Cardiology, Cardiovascular Disease (Cardiology)MO
-MO
Internal MedicineIL
Hospitalist, Internal MedicineAR
Critical Care (Intensivists)MO

Reviews

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Frequently asked questions

Is DR. SASAN MOSHIRZADEH (M.D) listed with a National Provider Identifier?
Yes — DR. SASAN MOSHIRZADEH (M.D) has NPI 1689023186 on file in the registry.
Is DR. SASAN MOSHIRZADEH (M.D) still an active registrant?
DR. SASAN MOSHIRZADEH (M.D) carries an active NPI according to the public dataset.
How would a patient describe DR. SASAN MOSHIRZADEH (M.D)'s focus?
For DR. SASAN MOSHIRZADEH (M.D), the primary taxonomy reads as Neurology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. SASAN MOSHIRZADEH (M.D)?
Directory geography for DR. SASAN MOSHIRZADEH (M.D) centers on Rolla, Missouri.
Can I trust this NPI listing for DR. SASAN MOSHIRZADEH (M.D)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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