Individual provider Active NPI

Mara A Darian

  • Pediatrics Physician
  • Detroit, MI
National Provider Identifier
1972184349
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD226901 Issued in OR
Practice address
540 E Canfield St
Detroit, MI 48201-1928
Phone
(313) 577-1466
NPI assigned
Apr 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MDRE.ML.61297138 WA
Pediatrics Physician 208000000X MD226901 OR Primary

Addresses

Primary practice location

540 E Canfield St
Detroit, MI 48201-1928

Mailing address

4800 Sand Point Way NE # Oc.7830
Seattle, WA 98105-3901
Phone (206) 987-2525

Other practice location 1

3377 Riverbend Dr
Springfield, OR 97477-8803
Phone (541) 222-8500

Other practice location 2

1200 Hilyard St Ste 440
Eugene, OR 97401-8122
Phone (458) 205-6061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20250912001783 OR Practitioner - Pediatric Medicine 4688052897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Wayne State University School of Medicine, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1115 SE 164TH Ave
Vancouver, WA 98683-8004

1200 Hilyard St
Suite 440
Eugene, OR 97401-8107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MDRE.ML.61297138WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Medical Group Pediatrics CurrentSince Aug 28, 2025 Accepting new patients
Peacehealth Medical Group CurrentSince Aug 28, 2025 Accepting new patients
Peacehealth Past Accepting new patients

Locations

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

1200 Hilyard St
Ste 440
Eugene, OR 97401
Phone (458) 205-6061

1200 Hilyard St
Eugene, OR 97401
Phone (458) 205-7070

Interoperability endpoints

  • Direct secure messaging: mdarian808395@direct.peacehealth.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": "1618617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1972184349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 SAND POINT WAY NE # OC.7830",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053901",
            "telephone_number": "206-987-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E CANFIELD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011928",
            "telephone_number": "313-577-1466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3377 Riverbend Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974778803",
            "country_code": "US",
            "telephone_number": "541-222-8500",
            "fax_number": "541-222-6435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Hilyard St Ste 440",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974018122",
            "country_code": "US",
            "telephone_number": "458-205-6061",
            "fax_number": "458-205-6248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARIAN",
        "first_name": "MARA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-17",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MDRE.ML.61297138",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD226901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.