NPIMap

Individual provider Active NPI

Vandy Lee Sherbin, MD

  • Pulmonary Disease Physician
  • Portland, OR
National Provider Identifier
1083711857
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD22479 Issued in OR
Practice address
2222 NW Lovejoy St.
Mob 1 Suite 411
Portland, OR 97210
Phone
(503) 413-5702
Fax
(503) 413-6499
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD22479 OR
Pulmonary Disease Physician 207RP1001X MD22479 OR Primary

Addresses

Primary practice location

2222 NW Lovejoy St.
Mob 1 Suite 411
Portland, OR 97210

Mailing address

2222 NW Lovejoy St.
Mob 1 Suite 411
Portland, OR 97210
Phone (503) 413-5702

Other identifiers 1

IdentifierTypeStateIssuer
288288MedicaidOR

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
I20070622000109 OR Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 1052410644 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

1130 NW 22ND Ave
Suite 220
Portland, OR 97210-2969
Phone (503) 413-8988

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-1122

300 N Graham St
Suite 320
Portland, OR 97227-1665
Phone (503) 413-5702

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.34 of 100Reported as group
Quality
92.55
Promoting interoperability
100
Improvement activities
40
Cost
76.53

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD22479ORMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Meridian Park Hospital CurrentSince Sep 8, 2011 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Aug 20, 2009 Accepting new patients
Legacy Clinics LLC Critical Care Medicine CurrentSince Jan 1, 2007 Accepting new patients
Legacy Meridian Park Hospital CurrentSince Sep 8, 2011 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Aug 20, 2009 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Aug 20, 2009 Accepting new patients
Legacy Mount Hood Medical Center Current Accepting new patients
Legacy Mount Hood Medical Center CurrentSince Aug 20, 2009 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Aug 20, 2009 Accepting new patients
Legacy Salmon Creek Hospital Past Accepting new patients

Locations

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

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

1040 NW 22nd Ave
Ste 168
Portland, OR 97210
Phone (503) 413-7022

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1130 NW 22nd Ave
Ste 400
Portland, OR 97210
Phone (503) 413-6555

2222 NW Lovejoy St
Ste 411
Portland, OR 97210
Phone (503) 413-5702

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

Interoperability endpoints

  • Direct secure messaging: vsherbin2925@direct.lhs.org

Organizations & group practices 10

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1083711857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 NW LOVEJOY ST.",
            "address_2": "MOB 1 SUITE 411",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97210",
            "telephone_number": "503-413-5702",
            "fax_number": "503-413-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 NW LOVEJOY ST.",
            "address_2": "MOB 1 SUITE 411",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97210",
            "telephone_number": "503-413-5702",
            "fax_number": "503-413-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERBIN",
        "first_name": "VANDY",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OR",
            "license": "MD22479",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OR",
            "license": "MD22479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288288",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.