Active NPI
Edin Mehic, MD
- Pediatrics Physician
- Seattle, WA
National Provider Identifier
1548824717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD61292901
- Practice address
- 2671 NE 46TH St
Seattle, WA 98105-5041 - Phone
- (206) 525-8000
- NPI assigned
- Apr 23, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD61292901 | WA | Primary |
Addresses
Primary practice location
2671 NE 46TH St
Seattle, WA 98105-5041
Mailing address
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Virginia Mason Medical Center | Past | Accepting new patients |
Locations
380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632
925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860
2671 NE 46th St
Seattle, WA 98105
Phone (206) 525-8000
1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/66ad9a50-d7f7-4c21-b933-2ba90047388e/
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
-
- Interventional Cardiology Physician
- Tacoma, WA
- NPI 1821711953
-
- Clinical Pathology/Laboratory Medicine Physician
- Seattle, WA
- NPI 1912055781
-
- Gastroenterology Physician
- Seattle, WA
- NPI 1003970989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1548824717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2671 NE 46TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981055041",
"telephone_number": "206-525-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHIC",
"first_name": "EDIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-23",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD61292901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.