Individual provider Active NPI

Ashkan Jonathan Ahmadian, MD

  • Diagnostic Radiology Physician
  • Seattle, WA
National Provider Identifier
1447711544
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD61434089 Issued in WA
Practice address
1959 NE Pacific Street Radiology Department RR 210
Seattle, WA 98195-1019
Phone
(206) 598-6483
Fax
(206) 543-6317
NPI assigned
Mar 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ML.61056701 WA
Diagnostic Radiology Physician 2085R0202X MD61434089 WA Primary

Addresses

Primary practice location

1959 NE Pacific Street Radiology Department RR 210
Seattle, WA 98195-1019

Mailing address

PO Box 50095
Seattle, WA 98145-5095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, 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
I20230303000219 CA Practitioner - Diagnostic Radiology 5092138354 Reassigns benefits to 1 organization
I20240621002780 WA Practitioner - Diagnostic Radiology 5092138354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Max MRI Radiology a Medical Group IncGroup PAC ID 0648643122, 3 clinicians

Practice addresses (Care Compare)

9380 Waples St
Suite 104
San Diego, CA 92121-3905
Phone (310) 570-5488

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as apm
Quality
74.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Max MRI Radiology a Medical Group Inc CurrentSince Feb 1, 2023 Accepting new patients
The Association of University Physicians Diagnostic Radiology CurrentSince Jun 14, 2024 Accepting new patients
Max MRI Imaging Inc Diagnostic Radiology Past Accepting new patients

Locations

865 Third Ave
Ste 121
Chula Vista, CA 91911
Phone (619) 426-3400

7711 Amigos Ave
Ste C
Downey, CA 90242
Phone (310) 570-5488

17530 Ventura Blvd
Ste 105
Encino, CA 91316
Phone (310) 570-5488

17530 Ventura Blvd
Ste 106
Encino, CA 91316
Phone (818) 382-2220

9380 Waples St
Ste 104
San Diego, CA 92121
Phone (310) 570-5488

1959 NE Pacific St
#210
Seattle, WA 98195
Phone (206) 598-6483

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

1959 NE Pacific St
#357115
Seattle, WA 98195
Phone (206) 598-3395

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.

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1447711544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50095",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981455095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC STREET RADIOLOGY DEPARTMENT RR 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981951019",
            "telephone_number": "206-598-6483",
            "fax_number": "206-543-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMADIAN",
        "first_name": "ASHKAN",
        "middle_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "ML.61056701",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD61434089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.