Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Alireza Shabani-Ardali, MD

Individual provider Internal Medicine Physician · NPI 1083862403

Dr. Alireza Shabani-Ardali, MD is an Internal Medicine in Corvallis, Oregon. Qualified in 2021, 5 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in District of Columbia, Maryland and Oregon.

Years since qualifying
5
Licensed in
DC, MD, OR
In the registry since
2008
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3600 NW Samaritan Dr
Corvallis, OR 97330-5472
Phone: (541) 768-5111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9205 Sw Barnes Rd, Portland, OR 97225-6603 — (503) 216-2906

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence MD173870 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD173870 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD041648 (DC)
Internal Medicine Physician Taxonomy 207R00000X · Licence D76274 (MD)

Record details

NPI number1083862403
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 28, 2008
Last updated in NPPESOctober 25, 2024
Certification dateNovember 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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