Mehdi M Mirtorabi, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD22580 Issued in OR

Practice address

2155 NW 173Rd Ave
Suite 102
Beaverton, OR 97006-3563

Phone

(503) 531-9990

Fax

(503) 531-9996

NPI assigned

Jun 25, 2006

Last updated

Feb 6, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Seid Mehdi Mirtorabi Former name

Medicare fee-for-service enrollment

Enrolled in OR

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

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providence Health and Services OregonGroup PAC ID 0648183608, 1,423 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIDCCA/Endpoint/EIDCCA

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.

• Mir Clinic, P.C.

  • Internal Medicine Physician
  • Beaverton, OR
  • NPI 1639353378
  Medicare reassignment NPD Authorized official
• Providence Health & Services Oregon

  dba Providence Medical Group

  • General Practice Physician
  • Lake Oswego, OR
  • NPI 1023488343
  Medicare reassignment Care Compare group NPD
• Providence Health & Services - Oregon

  dba Providence Medical Group

  • Family Medicine Physician
  • Lake Oswego, OR
  • NPI 1568793313
  NPD
• Providence Health & Services Oregon

  dba Providence Medical Group

  • Psychiatry Physician
  • Portland, OR
  • NPI 1760177737
  NPD

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

• Providence Health & Services - Oregon

  dba Providence St Vincent Medical Center

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1114015971
  Care Compare affiliation

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1679509111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 NW 173RD AVE",
            "address_2": "SUITE 102",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970063563",
            "telephone_number": "503-531-9990",
            "fax_number": "503-531-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 NW 173RD AVE",
            "address_2": "SUITE 102",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970063563",
            "telephone_number": "503-531-9990",
            "fax_number": "503-531-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRTORABI",
        "first_name": "MEHDI",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD22580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEID MEHDI",
            "last_name": "MIRTORABI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Minthorne, OTD, OTR/L
• Mir Clinic, P.C.
• Jared Miracle, PA-C
• Miranda McCormack, M.D., LLC
• Elisa Miranda
• Terri Lynn Mishler, PSYD
• Elizabeth Misner
• Katharine Theresa Mitchell, FNP
• Savanah C Mitchell
• Mitra Gaspeed

• Internal Medicine Physician in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.