Barzin Khalili, M.D., LLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

MD24359 Issued in OR

Legal business name

BARZIN KHALILI, M.D., LLC

Doing business as

Allergy Clinic

Practice address

511 SW 10TH Ave
Suite 1301
Portland, OR 97205-2732

Phone

(503) 228-0155

Fax

(503) 226-8342

NPI assigned

Oct 18, 2007

Last updated

Oct 18, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Barzin Khalili, MDNPI 1487725990

Title

Allergy Clinic Owner As of 12/1/07

Phone

(503) 228-0155

Specialties & licenses 1

Addresses

Other names 1

• Allergy Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barzin Khalili, MD

  • Allergy & Immunology Physician
  • Portland, OR
  • NPI 1487725990
  Medicare reassignment Care Compare group Authorized official
• Logan Michael Johnston

  • Medical Physician Assistant
  • Portland, OR
  • NPI 1144834805
  Medicare reassignment Care Compare group
• Annie Mae Legard, PA-C

  • Physician Assistant
  • Portland, OR
  • NPI 1275711830
  Medicare reassignment Care Compare group
• Kathryn Ann Hanavan, RN MSN ANP

  • Adult Health Nurse Practitioner
  • Portland, OR
  • NPI 1811035777
  NPD (past)
• Anthony Montanaro, MD

  • Allergy & Immunology Physician
  • Portland, OR
  • NPI 1720185598
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1003005711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE",
            "address_2": "SUITE 1301",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052732",
            "telephone_number": "503-228-0155",
            "fax_number": "503-226-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE",
            "address_2": "SUITE 1301",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052732",
            "telephone_number": "503-228-0155",
            "fax_number": "503-226-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARZIN KHALILI, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "KHALILI",
        "authorized_official_first_name": "BARZIN",
        "authorized_official_title_or_position": "ALLERGY CLINIC OWNER AS OF 12/1/07",
        "authorized_official_telephone_number": "503-228-0155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "OR",
            "license": "MD24359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Savanah Marie Bartz, LPN
• Leah B Baruch, MD
• Priyanka Barve, MD
• Gwen Lynn Barwood, PA-C
• Kayla Nichole Barzee, OTD, OTR/L
• Adela Theodora Basayne, M.A., L.M.T.
• Hilary R Basco, MD
• Thomas Arthur Base, D.M.D.
• Gina Nicole Bash, MD, PHD
• Chandra Marie Basham, M.D.

• Allergy & Immunology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Allergy & Immunology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.