Individual provider Active NPI

Asra Mazhar, DO

  • Family Medicine Physician
  • Woodinville, WA
National Provider Identifier
1184162190
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP61060524 Issued in WA
Practice address
16916 140TH Ave NE Ste 300
Woodinville, WA 98072-6957
Phone
(425) 481-6363
NPI assigned
Feb 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP61060524 WA Primary

Addresses

Primary practice location

16916 140TH Ave NE Ste 300
Woodinville, WA 98072-6957

Mailing address

16916 140TH Ave NE Ste 300
Woodinville, WA 98072-6957
Phone (425) 481-6363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20200805002261 WA Practitioner - Family Practice 0143574798 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pacific University - College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (425) 899-2560

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP61060524WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No 2 Family Medicine Current Accepting new patients
King County Public Hospital District No. 2 Family Medicine CurrentSince Apr 6, 2025 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Overlake Medical Clinics, LLC Current Accepting new patients
King County Public Hospital District No. 2 CurrentSince Apr 6, 2025 Accepting new patients
Overlake Medical Clinics LLC CurrentSince Sep 14, 2020 Accepting new patients
International Community Health Services Family Medicine PastSince Jun 1, 2020 Accepting new patients

Locations

400 108th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 467-3785

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

16916 140th Ave NE
Ste 300
Woodinville, WA 98072
Phone (425) 481-6363

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": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1184162190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16916 140TH AVE NE STE 300",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726957",
            "telephone_number": "425-481-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16916 140TH AVE NE STE 300",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726957",
            "telephone_number": "425-481-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZHAR",
        "first_name": "ASRA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP61060524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

Verify at the official NPI Registry.