Individual provider Active NPI

Shahriar Heidary, M.D.

  • Cardiovascular Disease Physician
  • Seattle, WA
National Provider Identifier
1871556209
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A82213 Issued in CA
Practice address
9650 15TH Ave SW Ste 100
Seattle, WA 98106
Phone
(206) 965-1000
Fax
(206) 965-1031
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A82213 CA Primary

Addresses

Primary practice location

9650 15TH Ave SW Ste 100
Seattle, WA 98106

Mailing address

9650 15TH Ave SW Ste 100
Seattle, WA 98106-2576
Phone (206) 965-1000

Other practice location 1

105 N Bascom Ave
Suite 204
San Jose, CA 95128-1811
Phone (408) 918-0400

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
I20190712002460 WA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 6305960899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Perelman School of Med at the University of Pennsylvania, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sea Mar Community Health CentersGroup PAC ID 7315831161, 235 clinicians

Practice addresses (Care Compare)

31405 18TH Ave S
Federal Way, WA 98003-5433
Phone (253) 681-6600

8720 14TH Ave S
Seattle, WA 98108-4807
Phone (206) 762-3730

9650 15TH Ave SW
Seattle, WA 98106-2576
Phone (206) 965-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A82213CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Cardiovascular Disease CurrentSince May 21, 2019 Accepting new patients
Sea Mar Community Health Centers CurrentSince May 21, 2019 Accepting new patients
Sea Mar Community Health Centers Current Accepting new patients

Locations

9650 15th Ave SW
Ste 100
Seattle, WA 98106
Phone (206) 965-1000

9650 15th Ave SW
Seattle, WA 98106
Phone (206) 965-1000

8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730

Interoperability endpoints

  • Direct secure messaging: shahriar.heidary.1@14322.direct.athenahealth.com
  • Direct secure messaging: sheidary450486@direct.multicare.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1871556209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 15TH AVE SW STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981062576",
            "telephone_number": "206-965-1000",
            "fax_number": "206-965-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 15TH AVE SW STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98106",
            "telephone_number": "206-965-1000",
            "fax_number": "206-965-1031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 N Bascom Ave",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951281811",
            "country_code": "US",
            "telephone_number": "408-918-0400",
            "fax_number": "408-286-2922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEIDARY",
        "first_name": "SHAHRIAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A82213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.