Individual provider Active NPI

Nisha Nagarkatti-Gude, MD, PHD

  • Ophthalmology Physician
  • Lake Oswego, OR
National Provider Identifier
1053675835
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD177274 Issued in OR
Practice address
9 Monroe Pkwy Ste 160
Lake Oswego, OR 97035-8863
Phone
(503) 636-2551
NPI assigned
Jun 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD177274 OR Primary

Addresses

Primary practice location

9 Monroe Pkwy Ste 160
Lake Oswego, OR 97035-8863

Mailing address

PO Box 22009
Portland, OR 97269-2009
Phone (503) 558-7372

Other practice location 1

18345 SW Alexander St Ste A
Aloha, OR 97003-3960
Phone (503) 642-2505

Other identifiers 1

IdentifierTypeStateIssuer
500660263MedicaidOR

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
I20160601001900 OR Practitioner - Ophthalmology 5799925517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Health Northwest PCGroup PAC ID 9234039926, 72 clinicians

Practice addresses (Care Compare)

11086 SE Oak St
Milwaukie, OR 97222-6692
Phone (503) 656-4221

18345 SW Alexander St
Suite a
Aloha, OR 97003-3960
Phone (503) 642-2505

9 Monroe Pkwy
Suite 160
Lake Oswego, OR 97035-8863
Phone (503) 636-2551

9135 SW Barnes Rd
Suite 961
Portland, OR 97225-6699
Phone (503) 292-0848

Hospital & facility affiliations

  • Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004

Merit-based Incentive Payment System (MIPS)

Final score
88.74 of 100Reported as group
Quality
85.23
Promoting interoperability
100
Improvement activities
40
Cost
77.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery209

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD177274ORMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Health Northwest, PC Ophthalmology CurrentSince Feb 1, 2022 Accepting new patients
Eye Health Northwest P.C. Ophthalmology CurrentSince Feb 1, 2022 Accepting new patients
Oregon Eye Specialists PC Ophthalmology Past Accepting new patients
Oregon Eye Specialists, PC PastSince Aug 1, 2017 Accepting new patients

Locations

18345 SW Alexander St
Ste A
Beaverton, OR 97003
Phone (503) 642-2505

9 Monroe Pkwy
Ste 160
Lake Oswego, OR 97035
Phone (503) 636-2551

9135 SW Barnes Rd
Ste 961
Portland, OR 97225
Phone (503) 292-0848

11086 SE Oak St
Portland, OR 97222
Phone (503) 557-2020

5050 NE Hoyt St
Ste 445
Portland, OR 97213
Phone (503) 231-0166

19250 SW 65th Ave
Ste 215
Tualatin, OR 97062
Phone (503) 692-3630

Networks

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

Interoperability endpoints

  • Direct secure messaging: nisha.nagarkattigude@direct.ehnpc.nextgenshare.com
  • Direct secure messaging: nnagarkattigude@oregoneyes.emadirect.md

Organizations & group practices 4

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 1

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": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1053675835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22009",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972692009",
            "telephone_number": "503-558-7372",
            "fax_number": "503-344-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MONROE PKWY STE 160",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358863",
            "telephone_number": "503-636-2551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18345 SW Alexander St Ste A",
            "address_purpose": "LOCATION",
            "city": "Aloha",
            "state": "OR",
            "postal_code": "970033960",
            "country_code": "US",
            "telephone_number": "503-642-2505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGARKATTI-GUDE",
        "first_name": "NISHA",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD177274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500660263",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

Verify at the official NPI Registry.