MOJGAN AMANI – Sleep Medicine (Psychiatry & Neurology) Physician, NPI 1144508755

MOJGAN AMANI is a healthcare provider. based in Walla walla, Washington. specializing in SLEEP MEDICINE. They hold a License No. 6466 (NE). The NPI Number for MOJGAN AMANI is 1144508755

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MOJGAN AMANI
NPI
1144508755
Phone
(509) 525-3320
Address
401 W POPLAR ST
Enumeration Date
30 July 2011
Last Update Date
21 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8008132000
Graduation Year
2002 (24 years ago)
PAC ID
5799918637
Group Practice PAC ID
5799688230
Professional Enrollment ID
I20160922001152
Address ID
WA986844098VA12607BLVD500

Contacts

Secure Messaging
mamani734598@wm.providencedirect.org
SOAP Endpoint
https://careepicwest.kp.org:14430/interconnectprodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
SOAP Endpoint
careepicwest.kp.org:14430/interconnectprodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

102 SLEEP MEDICINE in WA

Provider Addresses for MOJGAN AMANI

  • 401 W POPLAR ST

    WALLA WALLA, WA 993622846

    Phone: (509) 525-3320

    Type: Location

  • PO BOX 32

    LIBERTY LAKE, WA 990190032

    Phone: (509) 525-3320

    Type: Mailing

  • 12607 SE MILL PLAIN BLVD

    VANCOUVER, WA 986846055

    Phone: (800) 813-2000

    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: 2023-05-01

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
I20160922001152ISleep MedicineWATBD
I20230501001775ISleep MedicineORTBD

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 99362)

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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: 5799688230View full group profile

Reviews

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Frequently asked questions

What is MOJGAN AMANI's NPI number?
MOJGAN AMANI's NPI is 1144508755 — the number used across U.S. healthcare to identify this provider.
Is MOJGAN AMANI shown as active in public data?
Registry records indicate MOJGAN AMANI maintains an active NPI.
What area of care is associated with MOJGAN AMANI?
MOJGAN AMANI's record emphasizes Sleep Medicine (Psychiatry & Neurology) Physician. Clinical services aligned with this taxonomy classification.
Where in Washington is MOJGAN AMANI registered?
Use Walla Walla, Washington as the headline location for MOJGAN AMANI here.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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