NPIMap

Individual provider Active NPI

Mehrdad Jafari Boroujerdi, MD

  • Hematology & Oncology Physician
  • Seattle, WA
National Provider Identifier
1922076173
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD00048907 Issued in WA
Practice address
825 Eastlake Ave. E.
Seattle, WA 98109-1023
Phone
(206) 520-5000
NPI assigned
Mar 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00048907 WA
Medical Oncology Physician 207RX0202X MD00048907 WA
Hematology & Oncology Physician 207RH0003X MD00048907 WA Primary

Addresses

Primary practice location

825 Eastlake Ave. E.
Seattle, WA 98109-1023

Mailing address

PO Box 50095
Seattle, WA 98145-5095

Other names 1

  • Mehrdad Jafar-Boroujerdi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071213000702 WA Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Infectious Disease 8628049301 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Association of University PhysiciansGroup PAC ID 0446162697, 3,484 clinicians

Practice addresses (Care Compare)

825 Eastlake Ave E
Seattle, WA 98109-4405
Phone (206) 288-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00048907WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 2 Skagit County Washington CurrentSince Apr 1, 2018 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Apr 1, 2018 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Feb 1, 2008 Accepting new patients
Public Hospital District No 2 Skagit County Washington Current Accepting new patients
The Association of University Physicians Internal Medicine CurrentSince Mar 15, 2024 Accepting new patients
Public Hospital Dist No 1 Skagit Medical Oncology CurrentSince Feb 1, 2008 Accepting new patients
Jackson County Memorial Hospital Authority PastSince Dec 31, 2008 Accepting new patients
Watonga Hospital Trust Authority Past Accepting new patients
University of Washington Past Accepting new patients
Watonga Hospital Trust Authority Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

307 S 13th St
Ste 100
Mount Vernon, WA 98274
Phone (360) 424-2630

1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

825 Eastlake Ave E
Seattle, WA 98109
Phone (206) 288-1000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

Interoperability endpoints

  • Direct secure messaging: mjafariboroujerdi1173017@direct.ehre.uwmedicine.org
  • Direct secure messaging: mjafari12491@skagit.direct-ci.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 4

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": "1142121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1922076173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50095",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981455095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 EASTLAKE AVE. E.",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981091023",
            "telephone_number": "206-520-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFARI BOROUJERDI",
        "first_name": "MEHRDAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-12",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00048907",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "WA",
            "license": "MD00048907",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "MD00048907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEHRDAD",
            "last_name": "JAFAR-BOROUJERDI",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.