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

Javad Scott Mashkuri, MD

Individual provider Personal Emergency Response Attendant · NPI 1518168814

Javad Scott Mashkuri, MD is an Emergency Medicine in Lebanon, Oregon. Graduated from State University of New York Downstate Medical Center in 1995, 31 years ago. Practices with Mid-Valley Healthcare Inc, a 142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Vermont.

Years since qualifying
31
Trained at
State University of New York Downstate Medical Center
Licensed in
OR, VT
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

100 Mullins Dr Ste C1
Lebanon, OR 97355-2868
Phone: (541) 451-7450
Show map & directions

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

Additional practice locations (1)

  • 130 Fisher Rd, Berlin, VT 05602-9516 — (802) 371-4263

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD224551 (OR)
Personal Emergency Response Attendant Taxonomy 146D00000X · Licence MD21838 (OR)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 042.0012128 (VT)

Record details

NPI number1518168814
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2007
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 1995 (31 years in practice)
Group practice Mid-Valley Healthcare Inc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare