Individual provider Active NPI

Ali Riza Nazari, MD

  • Family Medicine Physician
  • Bellingham, WA
National Provider Identifier
1104278829
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.38544 Issued in AL
Practice address
4545 Cordata Pkwy Ste 2C
Bellingham, WA 98226-7264
Phone
(360) 752-5165
Fax
(360) 752-5686
NPI assigned
Jul 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.38544 AL Primary
Family Medicine Physician 207Q00000X MD61545364 WA

Addresses

Primary practice location

4545 Cordata Pkwy Ste 2C
Bellingham, WA 98226-7264

Mailing address

5621 Cottage Hill Rd
Mobile, AL 36609-4210
Phone (251) 666-2439

Other practice location 1

8844 Benson Rd
Lynden, WA 98264-9787
Phone (360) 752-5050

Other practice location 2

5621 Cottage Hill Rd
Mobile, AL 36609-4210
Phone (251) 666-2439

Other practice location 3

6701 Airport Blvd Ste A206
Mobile, AL 36608-3763
Phone (251) 675-7433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191011000821 AL Practitioner - Family Practice 0446544696 Reassigns benefits to 2 organizations
I20241203000128 WA Practitioner - Family Practice 0446544696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PeacehealthGroup PAC ID 9537073960, 292 clinicians

Practice addresses (Care Compare)

4545 Cordata Pkwy
Suite 2C
Bellingham, WA 98226-7264
Phone (360) 738-2200

Hospital & facility affiliations

  • Eden Home Health Home health agency, Bellingham, WA, CCN 507105
  • Peacehealth Home Health of Whatcom County Home health agency, Bellingham, WA, CCN 507307
  • Peacehealth St Joseph Medical Center Hospital, Bellingham, WA, CCN 500030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.38544ALMDFamily Medicine Physician
MD61545364WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Providence Healthcare Services CurrentSince Sep 9, 2019 Accepting new patients
Providence Hospital CurrentSince Apr 8, 2020 Accepting new patients
Alabama Providence Healthcare Services Family Medicine CurrentSince Sep 9, 2019 Accepting new patients
Providence Hospital CurrentSince Apr 8, 2020 Accepting new patients
Peacehealth Family Medicine CurrentSince Jan 13, 2025 Accepting new patients
Providence Hospital Current Accepting new patients
Providence Healthcare Services Family Medicine Current Accepting new patients

Locations

6701 Airport Blvd
Ste B329
Mobile, AL 36608
Phone (251) 633-4311

5621 Cottage Hill Rd
Mobile, AL 36609
Phone (251) 666-2439

6701 Airport Blvd
Ste A206
Mobile, AL 36608
Phone (251) 675-7433

6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

4545 Cordata Pkwy
Ste 2C
Bellingham, WA 98226
Phone (360) 752-5165

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

4545 Cordata Pkwy
Ste 2
Bellingham, WA 98226

3015 Squalicum Pkwy
Ste 200
Bellingham, WA 98225
Phone (360) 733-2092

8844 Benson Rd
Lynden, WA 98264
Phone (360) 318-0260

Interoperability endpoints

  • Direct secure messaging: anazari686081@direct.peacehealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1104278829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5621 COTTAGE HILL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366094210",
            "telephone_number": "251-666-2439",
            "fax_number": "251-666-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 CORDATA PKWY STE 2C",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982267264",
            "telephone_number": "360-752-5165",
            "fax_number": "360-752-5686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8844 Benson Rd",
            "address_purpose": "LOCATION",
            "city": "Lynden",
            "state": "WA",
            "postal_code": "982649787",
            "country_code": "US",
            "telephone_number": "360-752-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5621 Cottage Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366094210",
            "country_code": "US",
            "telephone_number": "251-666-2439",
            "fax_number": "251-666-3166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6701 Airport Blvd Ste A206",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366083763",
            "country_code": "US",
            "telephone_number": "251-675-7433",
            "fax_number": "251-675-3470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAZARI",
        "first_name": "ALI RIZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-06",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.38544",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61545364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.