Active NPI
Shahriar Heidary, M.D.
- Cardiovascular Disease Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A82213
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Perelman School of Med at the University of Pennsylvania, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| A82213 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea Mar Community Health Centers | Cardiovascular Disease | Current | Accepting new patients |
| Sea Mar Community Health Centers | Current | 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
- shahriar.heidary.1@14322.direct.athenahealth.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Aberdeen, WA
- NPI 1811051170
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1346398666
Cardiovascular Disease
-
- Federally Qualified Health Center (FQHC)
- Spanaway, WA
- NPI 1922624642
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.