Active NPI
Neda Afzali, M.D.
- Pediatrics Physician
- Albany, OR
National Provider Identifier
1114197787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD126192
- Practice address
- 734 Elm St SW
Albany, OR 97321-1934 - Phone
- (541) 812-5111
- Fax
- (541) 812-5127
- NPI assigned
- Mar 10, 2008
- Last updated
- Apr 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD126192 | OR | Primary |
Addresses
Primary practice location
734 Elm St SW
Albany, OR 97321-1934
Mailing address
PO Box 1189
Corvallis, OR 97339-1189
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD126192 | Other | OR | STATE LICENSE |
| 500609233 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nafzali7106@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany General Hospital | Current | Accepting new patients | |
| Albany General Hospital | Current | Accepting new patients | |
| Firstcare Medical Foundation | Pediatrics | Past | Accepting new patients |
Locations
815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888
Interoperability endpoints
- nafzali7106@samhealth.direct-ci.com
- neda.afzali.p1@direct.wfamilymed.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Samaritan Albany General Hospital
- General Acute Care Hospital
- Albany, OR
- NPI 1154372340
-
dba Samaritan Palliative Care
- Hospice and Palliative Medicine (Family Medicine) Physician
- Albany, OR
- NPI 1700280674
-
dba Samaritan Medical Clinics
- Family Medicine Physician
- Albany, OR
- NPI 1740216498
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1114197787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1189",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973391189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "734 ELM ST SW",
"city": "ALBANY",
"state": "OR",
"postal_code": "973211934",
"telephone_number": "541-812-5111",
"fax_number": "541-812-5127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFZALI",
"first_name": "NEDA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-10",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "MD126192",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MD126192",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500609233",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nafzali7106@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "734 Elm St SW",
"city": "Albany",
"state": "OR",
"country_code": "US",
"postal_code": "973211934",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.