Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Samaneh Davoudimoghaddam, MD

Ophthalmology Physician in Renton, WA · enumerated 2017 · practices at Retina Institute, Pllc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073036612

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Dr. Samaneh Davoudimoghaddam

Credential MD

Sex Female

Practice address 4300 Talbot Rd S Ste 300, Renton, WA, 98055

Phone (425) 228-6262

Fax (425) 228-6260

Enumeration date Jul 25, 2017

Last updated in NPPES Jul 1, 2024

Taxonomy & licenses

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License WA61387239 (WA) Primary

207WX0107X Retina Specialist (Ophthalmology) Physician Allopathic & Osteopathic Physicians · License WA61387239 (WA) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
2246367	Medicaid	WA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Samaneh Davoudimoghaddam?

The National Provider Identifier (NPI) for Samaneh Davoudimoghaddam is 1073036612, a Type 1 (individual) record in the CMS NPPES registry.

Where does Samaneh Davoudimoghaddam practice?

The practice location on file with NPPES is in Renton, WA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

Browse all →

Michael Waxman Ophthalmology Physician · Renton, WA NPI 1235217134 Kenneth Fung Ophthalmology Physician · Renton, WA NPI 1629291406 Retina Institute, Pllc Retina Specialist (Ophthalmology) Physician · Renton, WA NPI 1528303849

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-01.