Individual provider Active NPI

Ashish A Patel, MD, DDS,FACS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Portland, OR
National Provider Identifier
1043415870
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
MD161538 Issued in OR
Practice address
1849 NW Kearney St
Suite 300
Portland, OR 97209
Phone
(503) 224-1371
NPI assigned
Jun 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X D10370 OR
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X MD161538 OR Primary

Addresses

Primary practice location

1849 NW Kearney St
Suite 300
Portland, OR 97209

Mailing address

1849 NW Kearney St
Suite 300
Portland, OR 97209-1453
Phone (503) 224-1371

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address apatel304304@oc.providencedirect.org
Direct Messaging Address apatel304304@oc.providencedirect.org

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
I20150618002993 OR Practitioner - Maxillofacial Surgery 4880905702 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
New York University School of Medicine, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Head and Neck Surgical Associates, PCGroup PAC ID 4486544418, 5 clinicians
TS Billings LLCGroup PAC ID 0143201954, 5 clinicians
Providence Health and Services OregonGroup PAC ID 0648183608, 1,423 clinicians

Practice addresses (Care Compare)

1849 NW Kearney St
Suite 300
Portland, OR 97209-1453
Phone (503) 224-1371

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 528-0704

4805 NE Glisan St
Portland, OR 97213-2933

5050 NE Hoyt St
Suite 454
Portland, OR 97213-2984
Phone (503) 215-6405

Hospital & facility affiliations

  • Providence Portland Medical Center Hospital, Portland, OR, CCN 380061
  • Legacy Emanuel Medical Center Hospital, Portland, OR, CCN 380007
  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D10370ORMDOral & Maxillofacial Surgery (D.M.D.)
MD161538ORMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Current Accepting new patients
Head & Neck Surgical Associates, PC Oral & Maxillofacial Surgery CurrentSince Jul 1, 2015 Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 1, 2015 Accepting new patients
TS Billings, LLC CurrentSince Jul 1, 2015 Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 1, 2015 Accepting new patients
Legacy Emanuel Hospital & Health Center Past Accepting new patients

Locations

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

4805 NE Glisan St
Ste 6N50
Portland, OR 97213
Phone (503) 215-2300

5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405

1849 NW Kearney St
Ste 300
Portland, OR 97209
Phone (503) 224-1371

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Interoperability endpoints

  • Direct secure messaging: apatel304304@oc.providencedirect.org

Organizations & group practices 6

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1043415870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 NW KEARNEY ST",
            "address_2": "SUITE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091453",
            "telephone_number": "503-224-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 NW KEARNEY ST",
            "address_2": "SUITE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97209",
            "telephone_number": "503-224-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ASHISH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD, DDS,FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "OR",
            "license": "D10370",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "OR",
            "license": "MD161538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apatel304304@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1849 NW Kearney St",
            "address_2": "Suite 300",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "97209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apatel304304@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "4805 NE Glisan St Ste 6N50",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972132933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.