Individual provider Active NPI

Vladimir B. Fiks, MD

  • Interventional Pain Medicine Physician
  • Portland, OR
National Provider Identifier
1063418333
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MD19358 Issued in OR
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
080783MedicaidOR

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
I20040726000988 OR Practitioner - Interventional Pain Management 1456240837 Reassigns benefits to 1 organization

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
Advanced Pain Management Center PCGroup PAC ID 0648169029, 3 clinicians

Practice addresses (Care Compare)

10305 SW Park Way
Suite 300
Portland, OR 97225-5033
Phone (503) 295-0730

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion20
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

OrganizationSpecialtyStatusNew patients
Advanced Pain Management Center CurrentSince May 23, 2000 Accepting new patients
Advanced Pain Management Center PC CurrentSince May 23, 2000 Accepting new patients
Parkway Toxicology LLC PastSince Sep 18, 2012 Accepting new patients
Cedar Hills Ambulatory Surgery Center LLC PastSince Sep 28, 2001 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.