Active NPI
Vladimir B. Fiks, MD
- Interventional Pain Medicine Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- MD19358
- Practice address
- 10305 SW Park Way
Ste 300
Portland, OR 97225-5033 - Phone
- (503) 295-0730
- Fax
- (503) 295-0731
- NPI assigned
- Jun 22, 2005
- Reactivated
- Mar 28, 2006
- Last updated
- Jun 24, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | MD19358 | OR | Primary |
Addresses
Primary practice location
10305 SW Park Way
Ste 300
Portland, OR 97225-5033
Mailing address
10305 SW Park Way
Ste 300
Portland, OR 97225-5033
Phone (503) 295-0730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080783 | Medicaid | OR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10305 SW Park Way
Suite 300
Portland, OR 97225-5033
Phone (503) 295-0730
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 20 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Pain Management Center | Current | Accepting new patients | |
| Advanced Pain Management Center PC | Current | Accepting new patients | |
| Parkway Toxicology LLC | Past | Accepting new patients | |
| Cedar Hills Ambulatory Surgery Center LLC | Past | Accepting new patients |
Locations
10305 SW Parkway
Ste 300
Portland, OR 97225
Phone (503) 295-0730
2565 NW Lovejoy St
Portland, OR 97210
Phone (503) 226-3376
Interoperability endpoints
- vladimir.fiks.1@31950.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine Physician
- Portland, OR
- NPI 1760531339
-
- Durable Medical Equipment & Medical Supplies
- Portland, OR
- NPI 1467773663
-
dba Cedar Hills Surgery Center
- Ambulatory Surgical Clinic/Center
- Portland, OR
- NPI 1609896539
-
- Clinical Medical Laboratory
- Portland, OR
- NPI 1073853974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277337600000",
"number": "1063418333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10305 SW PARK WAY",
"address_2": "STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255033",
"telephone_number": "503-295-0730",
"fax_number": "503-295-0731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10305 SW PARK WAY",
"address_2": "STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255033",
"telephone_number": "503-295-0730",
"fax_number": "503-295-0731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIKS",
"first_name": "VLADIMIR",
"middle_name": "B.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2010-06-24",
"deactivation_date": "2006-03-15",
"reactivation_date": "2006-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "OR",
"license": "MD19358",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080783",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.