Individual provider Active NPI

Shahriyar A Leilabadi, MD

  • Family Medicine Physician
  • Bothell, WA
National Provider Identifier
1710062245
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60556970 Issued in WA
Practice address
9924 NE 185TH St
Bothell, WA 98011-3502
Phone
(425) 595-3830
Fax
(425) 595-3831
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60556970 WA Primary
Family Medicine Physician 207Q00000X 242080 NY

Addresses

Primary practice location

9924 NE 185TH St
Bothell, WA 98011-3502

Mailing address

7600 Evergreen Way
Everett, WA 98203-6421
Phone (206) 860-5414

Other practice location 1

9709 3rd Ave NE
Seattle, WA 98115-2062
Phone (206) 525-5777

Other identifiers 8

IdentifierTypeStateIssuer
061129000052OtherNYFIDELIS CARE #
2087778MedicaidWA
000528841001OtherNYHEALTH NOW BCBS #
070320000059OtherNYFIDELIS CARE URGENT CARE#
00027738401OtherNYUNIVERA #
0145379OtherNYGHI PPO #
194882BFOtherNYPREFERRED CARE #
0114050OtherNYIHA #

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171110001109 WA Practitioner - Family Practice 1153427976 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

9924 NE 185TH St
Suite 215
Bothell, WA 98011-3504
Phone (425) 595-3830

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
242080NYMDFamily Medicine Physician
MD60556970WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Polyclinic PLLC Family Medicine Current Accepting new patients
The Polyclinic CurrentSince Jul 12, 2023 Accepting new patients
The Polyclinic PLLC Family Medicine CurrentSince Jul 12, 2023 Accepting new patients
Optum Care Washington PLLC Family Medicine CurrentSince Jul 12, 2023 Accepting new patients
Optum Care Washington PLLC Family Medicine CurrentSince Jul 12, 2023 Accepting new patients
Molina Healthcare of Washington, Inc Family Medicine CurrentSince Jan 2, 2018 Accepting new patients
Molina Healthcare of Washington, Inc Family Medicine Current Accepting new patients
Optum Care Washington PLLC CurrentSince Apr 14, 2024 Accepting new patients
Optum Care Washington PLLC PastSince Oct 15, 2023 Accepting new patients
General Physician, PC PastSince Apr 1, 2016 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

9924 NE 185th St
Ste 215
Bothell, WA 98011
Phone (425) 595-3830

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727

1145 Broadway
Seattle, WA 98122

9709 3rd Ave NE
Seattle, WA 98115
Phone (206) 525-5777

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3889/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sleilabadi76285@direct.tecmc.com

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1710062245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 EVERGREEN WAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982036421",
            "telephone_number": "206-860-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9924 NE 185TH ST",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113502",
            "telephone_number": "425-595-3830",
            "fax_number": "425-595-3831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9709 3rd Ave NE",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981152062",
            "country_code": "US",
            "telephone_number": "206-525-5777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEILABADI",
        "first_name": "SHAHRIYAR",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60556970",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "242080",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE #",
            "identifier": "061129000052",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2087778",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NOW BCBS #",
            "identifier": "000528841001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE URGENT CARE#",
            "identifier": "070320000059",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA #",
            "identifier": "00027738401",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO #",
            "identifier": "0145379",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE #",
            "identifier": "194882BF",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA #",
            "identifier": "0114050",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

Verify at the official NPI Registry.