Ehsan Hazrati, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD60400017 Issued in WA

Practice address

820 N Chelan Ave
Wenatchee, WA 98801-2028

Phone

(509) 663-8711

NPI assigned

May 12, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Internal Medicine

Education

State University of Ny Upstate Medical University, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

M-Care Medical Group PCGroup PAC ID 8820596521, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• John C Fremont Healthcare District Hospital, Mariposa, CA, CCN 051304
• Watsonville Community Hospital Hospital, Watsonville, CA, CCN 050194
• Dominican Hospital Hospital, Santa Cruz, CA, CCN 050242
• John C Fremont Healthcare District Nursing home, CCN 05Z304

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ehazrati425316@hisp.ehr.sutterhealth.org

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.

• M-Care Medical Group PC

  • Internal Medicine Physician
  • Mariposa, CA
  • NPI 1689561912
  Medicare reassignment Care Compare group NPD
• Hospitalists of Modesto Medical Group Inc

  • Internal Medicine Physician
  • Modesto, CA
  • NPI 1821190711
  Medicare reassignment NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment NPD
• Quantum Healthcare Medical Associates Inc.

  • Hospitalist Physician
  • Colton, CA
  • NPI 1568490597

  Internal Medicine

  Medicare reassignment NPD
• Valley Hospitalist Medical Group, Inc

  • Hospitalist Physician
  • Visalia, CA
  • NPI 1790925071
  Medicare reassignment NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Vallejo, CA
  • NPI 1336222397
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• Cogent Healthcare of California, PC

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1215956438
  NPD (past)
• Delphi Healthcare PLLC

  • Emergency Medicine Physician
  • Wellsville, NY
  • NPI 1003075029
  NPD (past)
• Delphi Hospitalist Services LLC

  • Hospitalist Physician
  • Rochester, NY
  • NPI 1922270420
  NPD (past)
• Hospitalists of Modesto Medical Group

  • General Acute Care Hospital
  • Modesto, CA
  • NPI 1659712586
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health

  • General Acute Care Hospital
  • Santa Cruz, CA
  • NPI 1427181007
  Care Compare affiliation
• John C Fremont Healthcare District

  • Critical Access Hospital
  • Mariposa, CA
  • NPI 1184662652
  Care Compare affiliation
• John C Fremont Healthcare District

  • Rural Acute Care Hospital
  • Mariposa, CA
  • NPI 1770706293

  Nursing home

  Care Compare affiliation
• Pajaro Valley Health Care District Hospital Corporation

  • General Acute Care Hospital
  • Watsonville, CA
  • NPI 1619607488
  Care Compare affiliation

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1578881736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012028",
            "telephone_number": "509-663-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012028",
            "telephone_number": "509-663-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZRATI",
        "first_name": "EHSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-12",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60400017",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "269717",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578881736",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystle Lyn Hawkins, LMP
• Natalie Katharyn Hawkins
• Nicole Rachel Hawkins
• Alexia Hayes
• Amy Haynes, RN
• Douglas Head
• Healing Touch Mobile Wound Care LLC
• Healthy Options LLC
• Brett Hearl, NURSE PRACTITIONER
• Heart Spring Counseling Services, LLC

• Internal Medicine Physician in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.