Organization Active NPI

Nelsi Inc

  • Ophthalmology Physician
  • Portland, OR
National Provider Identifier
1477071926
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
NELSI INC
Practice address
11786 SW Barnes Rd Ste 270
Portland, OR 97225-5929
Phone
(507) 319-1904
NPI assigned
Sep 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Authorized official

Name
Dr. Mehrdad Malihi, MDNPI 1184912925
Title
President
Phone
(507) 319-1904

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0107X

Addresses

Primary practice location

11786 SW Barnes Rd Ste 270
Portland, OR 97225-5929

Mailing address

2633 NW Holloway Dr
Portland, OR 97229-8574

Other names 1

  • Northwest Eye Laser & Surgery Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171115001986 OR Part B Supplier - Clinic/Group Practice 8022374636 Receives reassigned benefits from 2 practitioners
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1477071926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 NW HOLLOWAY DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972298574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11786 SW BARNES RD STE 270",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255929",
            "telephone_number": "507-319-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "MALIHI",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-319-1904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Eye Laser & Surgery Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northwest Eye Laser & Surgery Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.