Individual provider Active NPI

Masoud Edalati, MD

  • Hematology (Pathology) Physician
  • Chapel Hill, NC
National Provider Identifier
1104500420
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Pathology) PhysicianTaxonomy code 207ZH0000X
License
2026-02284 Issued in NC
Practice address
Department of Pathology and Laboratory Medicine
Campus Box #7525, Brinkhous-Bullitt Building
Chapel Hill, NC 27599-7525
Phone
(310) 666-2647
NPI assigned
Jun 15, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Pathology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZH0000X 2026-02284 NC Primary

Addresses

Primary practice location

Department of Pathology and Laboratory Medicine
Campus Box #7525, Brinkhous-Bullitt Building
Chapel Hill, NC 27599-7525

Mailing address

1100 W NC Highway 54 Byp Apt 29F
Chapel Hill, NC 27516-2826
Phone (310) 666-2647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230710000143 PA Order and Referring Only - PathologyPractitioner - Pathology 1951760933

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT229640PAMDAnatomic Pathology & Clinical Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1104500420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W NC HIGHWAY 54 BYP APT 29F",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275162826",
            "telephone_number": "310-666-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE",
            "address_2": "CAMPUS BOX #7525, BRINKHOUS-BULLITT BUILDING",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997525",
            "telephone_number": "310-666-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDALATI",
        "first_name": "MASOUD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-15",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Hematology",
            "state": "NC",
            "license": "2026-02284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.