Mustufa Abbas Jafry, MD

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

MD61654958 Issued in WA

Practice address

15906 Mill Creek Blvd Ste 105
Mill Creek, WA 98012-1797

Phone

(425) 385-2009

Fax

(425) 939-0807

NPI assigned

Apr 1, 2020

Last updated

Sep 24, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Micrographic Dermatologic Surgery (MDS)Also: Dermatology

Education

University of Washington School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Silver Falls Dermatology LLCGroup PAC ID 5890863492, 100 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mjafry726888@direct.hfhs.org
• Direct secure messaging: mustufa.jafry.1@18430.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Silver Falls Dermatology, LLC

  dba Frontier Dermatology

  • Dermatology Physician
  • Salem, OR
  • NPI 1134375421

  WA

  Medicare reassignment Care Compare group NPD
• Silver Falls Dermatology, LLC

  dba Frontier Dermatology

  • Ambulatory Surgical Clinic/Center
  • Seattle, WA
  • NPI 1417163635

  Mohs-Micrographic Surgery

  NPD

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1447888540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1793 13TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022541",
            "telephone_number": "503-362-8385",
            "fax_number": "503-362-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15906 MILL CREEK BLVD STE 105",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121797",
            "telephone_number": "425-385-2009",
            "fax_number": "425-939-0807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3825 Martin Way E Ste 104",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065278",
            "country_code": "US",
            "telephone_number": "971-915-8579",
            "fax_number": "503-362-8435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3216 NE 45th Pl Ste 203",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981054028",
            "country_code": "US",
            "telephone_number": "206-525-1168",
            "fax_number": "206-525-1169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1338 Commerce Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986323732",
            "country_code": "US",
            "telephone_number": "971-915-8587",
            "fax_number": "503-362-8435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAFRY",
        "first_name": "MUSTUFA",
        "middle_name": "ABBAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WA",
            "license": "MD61654958",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD61654958",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Rehabilitation Group, PC (IRG Physical & Hand Therapy - Mill Creek)
• Brandi Lea Irwin, D.O.
• Victoria Lynn Isenhart, LMP
• J. L. Donaldson Services Corporation (The Donaldson Clinic - Donaldson Physical Therapy)
• J. L. Donaldson Services Corporation (The Donaldson Clinic-Merrill Gardens)
• Saihou Jagne
• Tahmina Akhtar Jahan, M.D.
• Alix Nicole Jansma, LMHC
• Jennifer Gross, PSYD, Inc
• Janelle Lynn Jensen, MS, LMFT

• MOHS-Micrographic Surgery Physician in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• MOHS-Micrographic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.