Mahnaz Lary, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00030734 Issued in WA

Practice address

1211 Cornwall Ave
Bellingham, WA 98225-5020

Phone

(360) 671-7100

Fax

(360) 671-3538

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

University of South Florida College of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Super Track Urgent Care LLCGroup PAC ID 7618243296, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eden Home Health Home health agency, Bellingham, WA, CCN 507105
• Peacehealth Home Health of Whatcom County Home health agency, Bellingham, WA, CCN 507307

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: supertrack.mahnazlary@137838.advancedmd-direct.com

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.

• Super Track Urgent Care LLC

  • Family Medicine Physician
  • Bellingham, WA
  • NPI 1598289027

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Mahnaz Lary MD Inc PS

  • Internal Medicine Physician
  • Bellingham, WA
  • NPI 1083960751

  Single Specialty

  Medicare reassignment NPD Authorized official
• Mahnaz Lary MD Inc PS

  • Hematology & Oncology Physician
  • Bellingham, WA
  • NPI 1629514823

  Single Specialty

  NPD (past)
• Marion Diagnostic Center, LLC

  • Multi-Specialty Clinic/Center
  • Marion, IL
  • NPI 1366543084

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Empres Home Health of Bellingham, LLC

  • Home Health Agency
  • Bellingham, WA
  • NPI 1316031230
  Care Compare affiliation
• Peacehealth

  • Home Health Agency
  • Bellingham, WA
  • NPI 1710639901
  Care Compare affiliation

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1285732289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2524",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982272524",
            "telephone_number": "360-671-7100",
            "fax_number": "360-671-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 CORNWALL AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255020",
            "telephone_number": "360-671-7100",
            "fax_number": "360-671-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARY",
        "first_name": "MAHNAZ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00030734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey A Larson, OD
• Jeremy Sloan Larson
• Jessica Anne Larson, LMP
• Joanna Christine Larson, MSW
• Nathan L Larson, DPM
• Micah Lasley, PA-C
• Katherine Laspina, PTA
• Karen Hull Lauckhardt, MA,PT,CHT
• Pamela D. Laughlin, M.D.
• Joshua E Laupmanis

• Internal Medicine Physician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.