Timothy Arash Ekhlassi, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD60909090 Issued in WA

Practice address

3125 Howe PL Ste 101
Bellingham, WA 98226-5634

Phone

(360) 647-7750

Fax

(360) 647-4290

NPI assigned

Aug 3, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bellingham Bay Ophthalmology PLLC

  • Ophthalmology Physician
  • Bellingham, WA
  • NPI 1588649008
  Medicare reassignment NPD
• Steven H Swedberg MD PS

  • Ophthalmology Physician
  • Edmonds, WA
  • NPI 1760655732
  NPD (past)

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1689921033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 HOWE PL STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265634",
            "telephone_number": "360-647-7750",
            "fax_number": "360-647-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 HOWE PL STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265634",
            "telephone_number": "360-647-7750",
            "fax_number": "360-647-4290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29201 Telegraph Rd",
            "address_2": "Suite 324",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480341331",
            "country_code": "US",
            "telephone_number": "248-353-7510",
            "fax_number": "248-746-0683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EKHLASSI",
        "first_name": "TIMOTHY",
        "middle_name": "ARASH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-03",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "125.061497",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301109226",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "MI",
            "license": "4301109226",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD60909090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2118622",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothyekhlassi@direct-address.net",
            "affiliation": "N",
            "endpointDescription": "DirectSend email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3125 Howe Pl Ste 101",
            "city": "Bellingham",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982265634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Egging 5 Cares LLC (Amada Senior Care Bellingham WA)
• Jennifer Eichhorn, ARNP, FNP-BC
• Hannah Eide, DPT
• William Raymond Eiford Jr., PA-C
• Theron Troy Eirish, LMP
• Elizabeth L Eklund, CNM
• Ahmed El Sayed, RPH, BCPS
• Tiffany Rachel Elam
• Nadia Elbaghdadi
• Annie Rose Elder

• Ophthalmology Physician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Ophthalmology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.

Verify at the official NPI Registry.