Active NPI
Pierre Dominique Mechali, M.D.
- Urology Physician
- Olympia, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD00019077
- 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, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 269807 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alice Hyde Medical Center | Single Specialty | Current | Accepting new patients |
| Alice Hyde Medical Center | Single Specialty | Current | Accepting new patients |
| DLP Conemaugh Physician Practices LLC | Single Specialty | Current | Accepting new patients |
| United Health Services Hospitals, Inc. | Single Specialty | Current | 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
- pmechali21259@direct.watsonclinicad.com
- 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.
-
dba Conemaugh Physician Group Cresson
- Family Medicine Physician
- Cresson, PA
- NPI 1932515905
Single Specialty
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.