Individual provider Active NPI

Paul M Puziss, M.D.

  • Orthopaedic Surgery Physician
  • Beaverton, OR
National Provider Identifier
1023291374
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
11897 Issued in OR
Practice address
3800 SW Cedar Hills Blvd Ste 250
Beaverton, OR 97005-4760
Phone
(503) 646-8995
Fax
(503) 644-4678
NPI assigned
Dec 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 11897 OR Primary

Addresses

Primary practice location

3800 SW Cedar Hills Blvd Ste 250
Beaverton, OR 97005-4760

Mailing address

3800 SW Cedar Hills Blvd Ste 250
Beaverton, OR 97005-4760
Phone (503) 646-8995

Other identifiers 4

IdentifierTypeStateIssuer
0022446OtherWAWA DEPT LABOR & INDUSTRY
058412MedicaidOR
194400600OtherWAOWCP
000573000OtherORREGENCE BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210325002615 OR Practitioner - Orthopedic Surgery 6002896123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Washington School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3800 SW Cedar Hills Blvd
Suite 250
Beaverton, OR 97005-4760
Phone 5035268814106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11897ORMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paul M Puziss MD PC Orthopaedic Surgery CurrentSince Jan 1, 2021 Accepting new patients

Locations

3800 SW Cedar Hills Blvd
Ste 250
Beaverton, OR 97005
Phone (503) 526-8814

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1023291374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 SW CEDAR HILLS BLVD STE 250",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054760",
            "telephone_number": "503-646-8995",
            "fax_number": "503-644-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 SW CEDAR HILLS BLVD STE 250",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054760",
            "telephone_number": "503-646-8995",
            "fax_number": "503-644-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUZISS",
        "first_name": "PAUL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-10",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "11897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPT LABOR & INDUSTRY",
            "identifier": "0022446",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058412",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "194400600",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBS",
            "identifier": "000573000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.