NPIMap

Sabrena Ahmadi

Individual provider Active NPI Neurology Physician · Portland, OR

NPI 1013465103 · NPPES record last updated Apr 5, 2024

Key facts

NPI
1013465103
Entity type
Individual (NPI type 1)
Primary specialty
Neurology Physician 2084N0400X
License
DO218865 (OR)
Practice address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone
(503) 494-7772
NPI assigned
Sep 16, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Neurology
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Physician Services PC (593 clinicians)
Atlanticare Physician Group PA (506 clinicians)
Franciscan Physician Network (1,152 clinicians)
Beacon Medical Group Inc (575 clinicians)
University of Alabama Health Services Foundation, PC (2,784 clinicians)

Practice addresses (Care Compare)

108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391

1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone (609) 441-8146

3500 Franciscan Way
Suite 300
Michigan City, IN 46360-0021
Phone (219) 878-8326

4 Valley Health PLZ
Paramus, NJ 07652-3619
Phone (800) 825-5391

600 E Blvd
Elkhart, IN 46514-2483

600 E Blvd 4TH FL Hospitalists
BMG Hospital Specialties
Elkhart, IN 46514-2483
Phone (574) 647-3050

615 N Michigan St
South Bend, IN 46601-1033

615 N Michigan St FL
South Bend, IN 46601-1033

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

Hospital & facility affiliations

  • Memorial Hospital of South Bend Hospital · South Bend, IN · CCN 150058
  • University of Alabama Hospital Hospital · Birmingham, AL · CCN 010033
  • Valley Hospital Hospital · Paramus, NJ · CCN 310012

Medicare participation

Medicare fee-for-service enrollment
Enrolled (5 enrollments) in AL, IN, CA, NJ, OR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230926003502 AL Practitioner - Neurology 9931450244 Reassigns benefits to 1 organization
I20231002002058 IN Practitioner - Neurology 9931450244 Reassigns benefits to 2 organizations
I20231011002378 CA Practitioner - Neurology 9931450244 Reassigns benefits to 1 organization
I20240223001316 NJ Practitioner - Neurology 9931450244 Reassigns benefits to 2 organizations
I20240429003361 OR Practitioner - Neurology 9931450244 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3286ALMDGeneral Practice Dentistry
DO218865ORMDNeurology Physician
20A19653CAMDVascular Neurology Physician

Practice roles (16 of 21)

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group PA Current Accepting new patients
Beacon Medical Group, Inc. Current Accepting new patients
Beacon Medical Group, Inc. Neurology Current
since Nov 1, 2024		 Accepting new patients
University Professional Services Current
since Apr 3, 2024		 Accepting new patients
Franciscan Physician Network Current
since Aug 30, 2023		 Accepting new patients
University of Alabama Health Services Foundation, PC. Current
since Sep 1, 2023		 Accepting new patients
Valley Physician Services PC Current
since Feb 20, 2024		 Accepting new patients
University Professional Services Current Accepting new patients
Beacon Medical Group Inc Current
since Nov 1, 2024		 Accepting new patients
Franciscan Physician Network Current
since Aug 30, 2023		 Accepting new patients
University Professional Services Current
since Apr 3, 2024		 Accepting new patients
Atlanticare Physician Group, PA Current
since Dec 2, 2023		 Accepting new patients
Atlanticare Regional Medical Center Current
since Aug 15, 2025		 Accepting new patients
Atlanticare Physician Group Current
since Dec 2, 2023		 Accepting new patients
Atlanticare Regional Medical Center Current
since Aug 15, 2025		 Accepting new patients
Stamford Health Medical Group Inc Current
since Aug 1, 2023		 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

1201 11th Ave S
Ste 300
Birmingham, AL 35205

1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400

3500 Franciscan Way
Ste 300
Michigan City, IN 46360
Phone (219) 214-4633

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

615 N Michigan St
Fl 1
South Bend, IN 46601
Phone (574) 647-1100

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

219 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 878-9729

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

Networks

  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
  • IL HMO C-SNP
  • KY PPO
  • KY PPO C-SNP
  • IL PPO Downstate

Interoperability endpoints

  • Direct secure messaging: sahmadi107260@direct.ohsu.edu
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 20A19653 CA
Neurology Physician 2084N0400X 02007308A IN
Vascular Neurology Physician 2084V0102X 20A19653 CA
Neurology Physician 2084N0400X DO218865 OR Yes

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Mailing address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-7772

Other providers in Portland, OR

All providers in Portland, OR · Neurology Physician in Oregon

Sources for this page

Verify at the official NPI Registry.