MEHDI M MIRTORABI MD
NPI 1679509111
Internal Medicine in Beaverton, OR
About Mehdi M Mirtorabi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEHDI M MIRTORABI MD (NPI 1679509111) is an individual internal medicine provider in Beaverton, Oregon, licensed in Oregon (MD22580) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through February 14, 2028, and is affiliated with Providence St Vincent Medical Center.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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
Mehdi M Mirtorabi 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mehdi Mirtorabi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Beaverton, OR 97006
- Reassigned Medicare billing, Oregon enrollment
Hillsboro, OR 97124
- Reassigned Medicare billing, Oregon enrollment
- 1,501 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 38D0996372
Mehdi Mirtorabi MD · Beaverton, ORAreas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence St Vincent Medical Center
Acute Care Hospitals · Portland, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97006 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BEAVERTON, OR 97006
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 Mehdi Mirtorabi's NPI number?
The NPI number for Mehdi Mirtorabi is 1679509111. It was assigned to this individual provider in the NPPES registry on June 25, 2006. The provider is also known as Seid Mehdi Mirtorabi MD.
Where is Mehdi Mirtorabi located?
Mehdi Mirtorabi practices at 2155 NW 173rd Ave Suite 102, Beaverton, OR 97006. The listed phone number is (503) 531-9990.
What is Mehdi Mirtorabi's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mehdi Mirtorabi enrolled in Medicare?
Yes. Mehdi Mirtorabi 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.
Which organizations bill Medicare for Mehdi Mirtorabi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mehdi Mirtorabi reassigns Medicare benefits to 2 organizations: Mir Clinic, P.C. (Beaverton, OR) and Providence Health & Services - Oregon (Hillsboro, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mehdi Mirtorabi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Does Mehdi Mirtorabi hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 38D0996372) is associated with this NPI, valid through February 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
Is Mehdi Mirtorabi affiliated with any hospitals?
According to CMS data, Mehdi Mirtorabi is affiliated with Providence St Vincent Medical Center.
When was this NPI record last updated?
The NPPES record for Mehdi Mirtorabi was last updated on February 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.
# Mehdi M Mirtorabi, MD · NPI 1679509111
Internal Medicine physician in Beaverton, Oregon. Individual provider, active in the CMS NPPES registry since June 25, 2006.
## Identity
- **NPI:** 1679509111 (Entity type: Individual)
- **Enumerated:** June 25, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD22580 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2155 NW 173RD AVE, SUITE 102, Beaverton, OR 97006-3563
- **Phone:** (503) 531-9990 · **Fax:** (503) 531-9996
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mir Clinic, P.C. (NPI 1639353378, Beaverton, OR); Providence Health & Services - Oregon (NPI 1003223959, Hillsboro, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1991
## Record status
- **NPPES last updated:** February 6, 2008
- **Other identifiers:** Medicare PIN 131910; Medicare UPIN H24687
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1679509111) · Data from the CMS NPPES public registry.