Individual provider Active NPI

Mahnaz Mellati, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Seattle, WA
National Provider Identifier
1326331513
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD 60443675 Issued in WA
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

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1326331513MedicaidWA

Other names 1

  • N/a N/a Other name

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
I20160601002291 WA Practitioner - Endocrinology 0143535666 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
MD 60443675WAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Polyclinic PLLC CurrentSince Sep 15, 2017 Accepting new patients
The Polyclinic PLLC CurrentSince Sep 15, 2017 Accepting new patients
Seattle Endocrine PLLC Endocrinology, Diabetes & Metabolism CurrentSince Jun 6, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.