MR. KHAJA MOINUDDEEN (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1154300903

MR. KHAJA MOINUDDEEN (MD) is a healthcare provider. based in Sugar land, Texas. specializing in CARDIAC SURGERY, GENERAL SURGERY, THORACIC SURGERY. They hold the professional credentials MD. They hold a License No. 21707 (WV). The NPI Number for MR. KHAJA MOINUDDEEN (MD) is 1154300903

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
MR. KHAJA MOINUDDEEN (MD)
NPI
1154300903
Phone
(281) 238-7870
Address
4911 SANDHILL DR
Enumeration Date
11 January 2006
Last Update Date
28 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2813324596
Graduation Year
1988 (38 years ago)
PAC ID
9739142019
Group Practice PAC ID
6103904461
Professional Enrollment ID
I20120420000050
Address ID
TX775984233WE450XXBLVD501

Contacts

Secure Messaging
KHAJA.MOINUDDEEN@hca9.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

183 CARDIAC SURGERY in TX

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Provider Addresses for MR. KHAJA MOINUDDEEN (MD)

  • 4911, Sandhill Drive, New Territory, Sugar Land, Fort Bend County, Texas, 77479, United States

    SUGAR LAND, TX 774795320

    Phone: (281) 238-7870

    Fax: (281) 633-4985

    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 64 Open Payments records for all available years, with a total value of $7,211.

Total Amount is formed as General ($7,211) + Research ($0) + Ownership ($0) = $7,211.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABIOMED ($1,858).

Total Amount

$7,211

General + Research + Ownership

Payments

64

Total payment records

General Amount

$7,211

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2024-10-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20120420000050ICardiac SurgeryTXTBD
I20241030004026IThoracic SurgeryNDTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77479)

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Provider's Procedures

MR. KHAJA MOINUDDEEN (MD) performs procedures in CARDIAC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIAC SURGERYTX33533Heart artery bypass to repair one artery1313

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: 6103904461View full group profile
NameSpecialtyState
General SurgeryTX
Physician AssistantTX
Nurse PractitionerTX
General SurgeryTX
Physician AssistantTX
-TX
General SurgeryTX
Thoracic Surgery, Cardiac SurgeryTX
-TX
Vascular Surgery, Cardiac SurgeryTX

Reviews

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Frequently asked questions

What unique ID ties claims to MR. KHAJA MOINUDDEEN (MD)?
NPI 1154300903 is assigned to MR. KHAJA MOINUDDEEN (MD) under the national enumeration system.
Is MR. KHAJA MOINUDDEEN (MD) active in the national directory?
MR. KHAJA MOINUDDEEN (MD)'s public NPI profile is in an active state.
What does MR. KHAJA MOINUDDEEN (MD) treat or focus on?
Patients typically see MR. KHAJA MOINUDDEEN (MD) under the specialty Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. KHAJA MOINUDDEEN (MD)?
The page summarizes Sugar Land, Texas for MR. KHAJA MOINUDDEEN (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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