NPIMap

Individual provider Active NPI

Rashmi Chandekar Shah, M.D.

  • Rheumatology Physician
  • Portland, OR
National Provider Identifier
1053501742
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD167809 Issued in OR
Practice address
9555 SW Barnes Rd Ste 150
Portland, OR 97225-6691
Phone
(503) 297-3384
Fax
(503) 297-0863
NPI assigned
Jul 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101246757 VA
Internal Medicine Physician 207R00000X 4301088351 MI
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 0101246757 VA
Rheumatology Physician 207RR0500X MD167809 OR Primary

Addresses

Primary practice location

9555 SW Barnes Rd Ste 150
Portland, OR 97225-6691

Mailing address

9555 SW Barnes Rd Ste 150
Portland, OR 97225-6691
Phone (503) 297-3384

Other identifiers 1

IdentifierTypeStateIssuer
R0000WCPHROtherORMEDICARE PROVIDER NUMBER

Other names 1

  • Rashmi Vidyadhar Chandekar Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160718002297 OR Practitioner - Rheumatology 0042490872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Rheumatology Associates, PCGroup PAC ID 7214822899, 6 clinicians

Practice addresses (Care Compare)

9555 SW Barnes Rd
Suite 150
Portland, OR 97225-6691
Phone (503) 297-3384

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301088351MIMDInternal Medicine Physician
0101246757VAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Rheumatology Associates, PC CurrentSince Aug 24, 2016 Accepting new patients

Locations

9155 SW Barnes Rd
Ste 314
Portland, OR 97225
Phone (503) 297-3384

9555 SW Barnes Rd
Ste 150
Portland, OR 97225
Phone (503) 297-3384

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHBHDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AHBHDD/Endpoint/AHBHDD

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.

Hospital & facility affiliations 9

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": "1185580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1053501742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 SW BARNES RD STE 150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256691",
            "telephone_number": "503-297-3384",
            "fax_number": "503-297-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SW BARNES RD STE 150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256691",
            "telephone_number": "503-297-3384",
            "fax_number": "503-297-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RASHMI",
        "middle_name": "CHANDEKAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-28",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101246757",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301088351",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "VA",
            "license": "0101246757",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OR",
            "license": "MD167809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "R0000WCPHR",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RASHMI",
            "last_name": "CHANDEKAR",
            "middle_name": "VIDYADHAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.