Individual provider Active NPI

Pierre Dominique Mechali, M.D.

  • Urology Physician
  • Olympia, WA
National Provider Identifier
1528357274
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD00019077 Issued in WA
Practice address
149 Lilly Rd NE
Olympia, WA 98506-5028
Phone
(360) 486-6772
Fax
(360) 455-7405
NPI assigned
Apr 4, 2011
Last updated
Jan 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME109456 FL
Urology Physician 208800000X MD450852 PA
Urology Physician 208800000X 269807 NY
Urology Physician 208800000X MD00019077 WA Primary

Addresses

Primary practice location

149 Lilly Rd NE
Olympia, WA 98506-5028

Mailing address

PO Box 3360
Portland, OR 97208-3360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
269807NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alice Hyde Medical Center Single Specialty CurrentSince Aug 1, 2013 Accepting new patients
Alice Hyde Medical Center Single Specialty CurrentSince Aug 1, 2013 Accepting new patients
DLP Conemaugh Physician Practices LLC Single Specialty Current Accepting new patients
United Health Services Hospitals, Inc. Single Specialty CurrentSince Mar 15, 2017 Accepting new patients

Locations

30 Harrison St
Ste 460
Johnson City, NY 13790
Phone (607) 763-8101

183 Park St
Ste 3
Malone, NY 12953
Phone (518) 481-2893

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: pmechali21259@direct.watsonclinicad.com
  • Direct secure messaging: pmechali694834@nychhc.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1528357274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3360",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065028",
            "telephone_number": "360-486-6772",
            "fax_number": "360-455-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECHALI",
        "first_name": "PIERRE",
        "middle_name": "DOMINIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME109456",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD450852",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "269807",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WA",
            "license": "MD00019077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.