Individual provider Active NPI

Iyad Jamali, MD

  • Cardiovascular Disease Physician
  • Richland, WA
National Provider Identifier
1144256181
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD00036068 Issued in WA
Practice address
1100 Goethals Dr
Kadlec Inland Cardiology
Richland, WA 99352-3304
Phone
(509) 946-2699
Fax
(509) 946-2675
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD21172 OR
Cardiovascular Disease Physician 207RC0000X MD00036068 WA Primary

Addresses

Primary practice location

1100 Goethals Dr
Kadlec Inland Cardiology
Richland, WA 99352-3304

Mailing address

3900 S Zintel Way
Kennewick, WA 99338
Phone (509) 942-3627

Other practice location 1

800 W Canal Dr
Kennewick, WA 99336-3564
Phone (509) 735-2300

Other identifiers 3

IdentifierTypeStateIssuer
276740MedicaidOR
0311927OtherWAL&I
1144256181MedicaidWA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ijamali1107499@wm.providencedirect.org Direct
Direct Messaging Address ijamali1107499@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, 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
I20051017000303 OR Practitioner - Cardiovascular Disease (Cardiology) 6507882800 Reassigns benefits to 1 organization
I20100928000866 WA Practitioner - Cardiovascular Disease (Cardiology) 6507882800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Iowa, RJ & L Carver College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kadlec Regional Medical CenterGroup PAC ID 9739098617, 402 clinicians

Practice addresses (Care Compare)

1135 Jadwin Ave
Richland, WA 99352-3434
Phone (509) 942-3300

3900 S Zintel Way
Suite 110
Kennewick, WA 99337-5092
Phone (509) 942-3125

3950 Keene Rd
West Richland, WA 99353-4901
Phone (509) 942-3130

888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 946-4611

Hospital & facility affiliations

  • Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058
  • Good Shepherd Medical Center Hospital, Hermiston, OR, CCN 381325
  • Trios Health Hospital, Kennewick, WA, CCN 500053
  • St Anthony Hospital Hospital, Pendleton, OR, CCN 381319
  • Prosser Memorial Hospital Hospital, Prosser, WA, CCN 501312

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting86
Pacemaker insertion or repair23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD21172ORMDCardiovascular Disease Physician
MD00036068WAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prosser Public Hospital District of Benton County CurrentSince Aug 6, 2019 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Aug 6, 2019 Accepting new patients
Prosser Public Hospital District of Benton County Current Accepting new patients
Providence Health & Services-Wa Past Accepting new patients
Inland Cardiology Associates, P.S. Cardiovascular Disease PastSince Jan 1, 1999 Accepting new patients
Grace Clinic PastSince Nov 17, 2024 Accepting new patients

Locations

1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

200 Prosser Health Dr
Prosser, WA 99350
Phone (509) 786-2222

723 Memorial St
Prosser, WA 99350
Phone (509) 786-2222

Interoperability endpoints

  • Direct secure messaging: ijamali1107499@wm.providencedirect.org

Organizations & group practices 8

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1144256181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 S ZINTEL WAY",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99338",
            "telephone_number": "509-942-3627",
            "fax_number": "509-942-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GOETHALS DR",
            "address_2": "KADLEC INLAND CARDIOLOGY",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523304",
            "telephone_number": "509-946-2699",
            "fax_number": "509-946-2675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W Canal Dr",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993363564",
            "country_code": "US",
            "telephone_number": "509-735-2300",
            "fax_number": "509-735-2323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMALI",
        "first_name": "IYAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "MD21172",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD00036068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276740",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0311927",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144256181",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ijamali1107499@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1100 GOETHALS DR",
            "address_2": "KADLEC INLAND CARDIOLOGY",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993523304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ijamali1107499@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "800 W Canal Dr",
            "city": "Kennewick",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993363564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.