Individual provider Active NPI

Neda Afzali, M.D.

  • Pediatrics Physician
  • Albany, OR
National Provider Identifier
1114197787
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD126192 Issued in OR
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
MD126192OtherORSTATE LICENSE
500609233MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090915000400 OR Practitioner - Pediatric Medicine 4688720709 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany General Hospital Current Accepting new patients
Albany General Hospital CurrentSince Apr 22, 2024 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

  • Direct secure messaging: nafzali7106@samhealth.direct-ci.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.