ALI RIZA NAZARI MD
NPI 1104278829
Family Medicine in Bellingham, WA

Q: What is Ali Riza Nazari's NPI number?

The NPI number for Ali Riza Nazari is 1104278829. It was assigned to this individual provider in the NPPES registry on July 6, 2016.

Q: What is Ali Riza Nazari's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ali Riza Nazari was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 06, 2016PECOS EnrolledAccepts Medicare Assignment

90.84/100

CMS Quality Rating

4545 CORDATA PKWY STE 2C, BELLINGHAM, WA 98226(360) 752-5165(360) 752-5686 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 20, 2025, Dec 27, 2019 (2 updates tracked since 2019).

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About Ali Riza Nazari Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALI RIZA NAZARI MD (NPI 1104278829) is an individual family medicine provider in Bellingham, Washington, licensed in Alabama (MD.38544) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1104278829

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameALI RIZA NAZARICredential: MD

Location Address4545 CORDATA PKWY STE 2CBellingham, WA 98226-7264

Mailing Address5621 Cottage Hill RdMobile, AL 36609-4210 · (251) 666-2439 · Fax (251) 666-3166

Phone(360) 752-5165

Fax(360) 752-5686

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 6, 2016

Last NPPES UpdateNovember 20, 20252 updates tracked since enumeration

NPPES CertifiedNovember 20, 2025

✔ NPI 1104278829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in AL · MD.38544✔ Licensed in WA · MD61545364

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4545 CORDATA PKWY STE 2C, Bellingham, WA 98226

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Secondary Practice Locations 3

Location 18844 Benson RdLynden, WA 98264-9787 · Phone (360) 752-5050

Location 25621 Cottage Hill RdMobile, AL 36609-4210 · Phone (251) 666-2439 · Fax (251) 666-3166

Location 36701 Airport Blvd Ste A206Mobile, AL 36608-3763 · Phone (251) 675-7433 · Fax (251) 675-3470

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ali Riza Nazari Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446544696

PECOS Enrollment IDI20241203000128

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Ali Riza Nazari reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Peacehealth

Same address

Sleep Disorder Diagnostic

4545 CORDATA PARKWAY
Bellingham, WA 98226

Reassigned Medicare billing, Washington enrollment
390 clinicians in this Medicare group

NPI 1265692842 (360) 738-2200

Providence Hospital

2,185 mi

Hospitalist

6801 AIRPORT BLVD, HOSPITALIST DEPT.
Mobile, AL 36608

Reassigned Medicare billing, Alabama enrollment
160 clinicians in this Medicare group

NPI 1871922971 (251) 639-5775

Alabama Providence Healthcare Services

2,185 mi

Endocrinology, Diabetes & Metabolism

6701 AIRPORT BLVD STE D436
Mobile, AL 36608

Reassigned Medicare billing, Alabama enrollment
102 clinicians in this Medicare group

NPI 1609446087 (251) 266-1987

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

119 services73 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

55 services42 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

44 services26 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

35 services20 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

31 services31 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

25 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph Hospital

Acute Care Hospitals · Bellingham, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number500030

Location2901 Squalicum ParkwayBellingham, WA 98225 · Whatcom County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.68

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

44%151 patients2/55-star benchmark: 93%

Colorectal Cancer Screening

44%418 patients3/55-star benchmark: 88%

Diabetes: Eye Exam

22%169 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

34%169 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

97%1,850 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

26%1,086 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 87% · 614 patients

Patients screened: 92% · 614 patients

70%96 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral nutrition infusion pump, any type B9002

Other-Enteral and Parenteral · category OB005N

1 supplier12 claims12 services$67.34 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers21 claims21 services$91.43 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$34.09 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIEGO AVILES MD

Family Medicine