Active NPI
Mahnaz Mellati, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD 60443675
- Practice address
- 1101 Madison St Ste 1270
Seattle, WA 98104-3554 - Phone
- (206) 796-3636
- Fax
- (334) 714-7958
- NPI assigned
- May 19, 2011
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD 60443675 | WA | Primary |
Addresses
Primary practice location
1101 Madison St Ste 1270
Seattle, WA 98104-3554
Mailing address
1101 Madison St Ste 1270
Seattle, WA 98104-3554
Phone (206) 796-3636
Other practice location 1
9709 3rd Ave NE
Seattle, WA 98115-2062
Phone (206) 525-5777
Other practice location 2
904 7th Ave Fl 7
Seattle, WA 98104-1132
Phone (206) 860-5572
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326331513 | Medicaid | WA |
Other names 1
- N/a N/a
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1101 Madison St
Suite 1270
Seattle, WA 98104-3554
Phone (206) 796-3636
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 60443675 | WA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Polyclinic PLLC | Current | Accepting new patients | |
| The Polyclinic PLLC | Current | Accepting new patients | |
| Seattle Endocrine PLLC | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
Locations
9709 3rd Ave NE
Seattle, WA 98115
Phone (206) 525-5777
904 7th Ave
Fl 7
Seattle, WA 98104
Phone (206) 860-2302
1101 Madison St
Ste 1270
Seattle, WA 98104
Phone (206) 292-6200
1145 Broadway
Seattle, WA 98122
Interoperability endpoints
- mahnaz.mellati.1@28607.direct.athenahealth.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 and National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Seattle, WA
- NPI 1568160158
-
dba Optum Tacoma
- Durable Medical Equipment & Medical Supplies
- Tacoma, WA
- NPI 1831411487
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Olympic Medical Center
- General Acute Care Hospital
- Port Angeles, WA
- NPI 1306845557
-
dba St Michael Medical Center
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
-
dba Island Hospital
- General Acute Care Hospital
- Anacortes, WA
- NPI 1710913140
-
- General Acute Care Hospital
- Edmonds, WA
- NPI 1033107214
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1326331513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MADISON ST STE 1270",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043554",
"telephone_number": "206-796-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MADISON ST STE 1270",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043554",
"telephone_number": "206-796-3636",
"fax_number": "334-714-7958"
}
],
"practiceLocations": [
{
"address_1": "9709 3rd Ave NE",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981152062",
"country_code": "US",
"telephone_number": "206-525-5777",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "904 7th Ave Fl 7",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981041132",
"country_code": "US",
"telephone_number": "206-860-5572",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MELLATI",
"first_name": "MAHNAZ",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-19",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "WA",
"license": "MD 60443675",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1326331513",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "N/A",
"last_name": "N/A",
"credential": "MD.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.
- 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.