Active NPI
Omar Arif Jaffer, MD
- Internal Medicine Physician
- Bellingham, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD60448453
- Practice address
- 2980 Squalicum Pkwy
Suite 301
Bellingham, WA 98225-1880 - Phone
- (360) 788-6112
- Fax
- (360) 788-6114
- NPI assigned
- May 21, 2007
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 38422 | IA | |
| Internal Medicine Physician | 207R00000X | 38422 | IA | |
| Pulmonary Disease Physician | 207RP1001X | 38422 | IA | |
| Internal Medicine Physician | 207R00000X | MD60448453 | WA | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD60448453 | WA | |
| Pulmonary Disease Physician | 207RP1001X | MD60448453 | WA |
Addresses
Primary practice location
2980 Squalicum Pkwy
Suite 301
Bellingham, WA 98225-1880
Mailing address
1115 SE 164TH Ave
Dept 358
Vancouver, WA 98683-9324
Phone (360) 788-6112
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700095494 | Medicaid | IA | |
| BP1-0026143 | Other | INSTITUTIONAL PERMIT |
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
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of Texas Southwestern Medical School at Dallas, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2901 Sqaulicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 788-9373
2980 Squalicum Pkwy
Bellingham, WA 98225-1880
Phone (360) 788-6112
3015 Squalicum Pkwy
Bellingham, WA 98225-1906
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60448453 | WA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Internal Medicine | Current | Accepting new patients |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth Medical Group - Sedro Woolley | Current | Accepting new patients |
Locations
3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104
2980 Squalicum Pkwy
Ste 301
Bellingham, WA 98225
Phone (360) 671-4944
3015 Squalicum Pkwy
Ste 200
Bellingham, WA 98225
Phone (360) 733-2092
3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186
835 E Fairhaven Ave
Burlington, WA 98233
Phone (360) 755-0641
1117 Spring St
Friday Harbor, WA 98250
Phone (360) 378-1738
1990 Hospital Dr
Ste 100
Sedro Woolley, WA 98284
Phone (360) 856-4141
1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253
Interoperability endpoints
- ojaffer61695@direct.peacehealth.org
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Friday Harbor, WA
- NPI 1508129842
-
- Family Medicine Physician
- Sedro Woolley, WA
- NPI 1407283179
-
dba PeaceHealth Medical Group
- Sleep Disorder Diagnostic Clinic/Center
- Bellingham, WA
- NPI 1265692842
-
dba Peace Island Medical Center
- Family Medicine Physician
- Friday Harbor, WA
- NPI 1902232507
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba PeaceHealth United General Medical Center
- Critical Access Hospital
- Sedro Woolley, WA
- NPI 1144664954
-
dba Island Hospital
- General Acute Care Hospital
- Anacortes, WA
- NPI 1710913140
-
dba Northwest Regional Laboratory
- Clinical Medical Laboratory
- Bellingham, WA
- NPI 1013137173
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445385600000",
"number": "1700095494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 SE 164TH AVE",
"address_2": "DEPT 358",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839324",
"telephone_number": "360-788-6112",
"fax_number": "360-788-6114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2980 SQUALICUM PKWY",
"address_2": "SUITE 301",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251880",
"telephone_number": "360-788-6112",
"fax_number": "360-788-6114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAFFER",
"first_name": "OMAR",
"middle_name": "ARIF",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2015-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IA",
"license": "38422",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "38422",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IA",
"license": "38422",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60448453",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "WA",
"license": "MD60448453",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WA",
"license": "MD60448453",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1700095494",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSTITUTIONAL PERMIT",
"identifier": "BP1-0026143",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.