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

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: July 26, 2026.

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

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
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

Secondary Practice Locations 3

Location 15621 Cottage Hill RdMobile, AL 36609-4210 · Phone (251) 666-2439 · Fax (251) 666-3166
Location 26701 Airport Blvd Ste A206Mobile, AL 36608-3763 · Phone (251) 675-7433 · Fax (251) 675-3470
Location 38844 Benson RdLynden, WA 98264-9787 · Phone (360) 752-5050

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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
Quality81.68
Promoting Interoperability100
Improvement Activities40

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.

Family Medicine
4545 CORDATA PKWY STE 2C
BELLINGHAM, WA 98226
Family Medicine
4545 CORDATA PKWY STE 2C
BELLINGHAM, WA 98226
Family Medicine
4545 CORDATA PKWY STE 2C
BELLINGHAM, WA 98226
Family Medicine
4545 CORDATA PKWY STE 2C
BELLINGHAM, WA 98226
Family Medicine
4545 CORDATA PKWY STE 2C
BELLINGHAM, WA 98226
Family Medicine
4545 CORDATA PKWY STE 2C
BELLINGHAM, WA 98226
Nurse Practitioner (Family)
4545 CORDATA PKWY STE 2C
BELLINGHAM, WA 98226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Ali Riza Nazari located?

Ali Riza Nazari practices at 4545 Cordata Pkwy Ste 2C, Bellingham, WA 98226. The listed phone number is (360) 752-5165.

What is Ali Riza Nazari's specialty?

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

Is Ali Riza Nazari enrolled in Medicare?

Yes. Ali Riza Nazari is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ali Riza Nazari accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Ali Riza Nazari as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ali Riza Nazari affiliated with any hospitals?

According to CMS data, Ali Riza Nazari is affiliated with St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Ali Riza Nazari was last updated on November 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.