DR. AMIR HOUSHANG MOAZZEZ (M.D.) – Surgery Physician, NPI 1619963139
Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
935 GENERAL SURGERY in VA
Provider Addresses for DR. AMIR HOUSHANG MOAZZEZ (M.D.)
3580 JOSEPH SIEWICK DR STE 205
FAIRFAX, VA 220331764
Phone: (703) 620-3211
Fax: (703) 620-3215
Type: Location
3600 Joseph Siewick Dr
Fairfax, VA 220331709
Phone: (703) 391-3600
Fax: (703) 391-3414
Type: Location
3620 Joseph Siewick Drive
Suite 200
Fairfax, VA 22033
Phone: (703) 620-3211
Fax: (703) 620-3215
Type: Location
9321 Sanger St Ste 204
Lorton, VA 220792720
Phone: (703) 620-3211
Fax: (571) 492-3059
Type: Location
3620, Joseph Siewick Drive, Navy, Fairfax County, Virginia, 22033, United States
SUITE 200
FAIRFAX, VA 22033
Phone: (703) 620-3211
Fax: (703) 620-3215
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $2,405.
Total Amount is formed as General ($2,405) + Research ($0) + Ownership ($0) = $2,405.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Medtronic, Inc. ($1,771).
Total Amount
$2,405
General + Research + Ownership
Payments
19
Total payment records
General Amount
$2,405
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,771 |
| W. L. Gore & Associates, Inc. | $314 |
| Teleflex LLC | $176 |
| Boston Scientific Corporation | $144 |
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: 2015-06-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040726001139 | I | General Surgery | DC | TBD |
| I20150604000913 | I | General Surgery | VA | 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 | 20 | 19 | $0 |
Insurance plans in this area (ZIP 22033)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | HI | |
| H E M A T O L O G Y | WA | |
| - | VIR | |
| - | IL | |
| Orthopedic Surgery | VA | |
| - | VA | |
| Diagnostic Radiology | VA | |
| General Surgery | CT | |
| - | VA | |
| N E U R O S U R G E R Y | VA |
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