Organization Active NPI

Beyond Health LLC

  • Primary Care Clinic/Center
  • Portland, OR
National Provider Identifier
1104447895
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BEYOND HEALTH LLC
Practice address
15160 NW Laidlaw Rd Ste 224
Portland, OR 97229-7709
Phone
(503) 922-7267
Fax
(678) 792-9439
NPI assigned
May 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Authorized official

Name
Meenakshi AggarwalNPI 1700064839
Title
MD
Phone
(678) 447-4921

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

15160 NW Laidlaw Rd Ste 224
Portland, OR 97229-7709

Mailing address

4804 NW Bethany Blvd Ste I-2-159
Portland, OR 97229

Other names 1

  • Beyond health llc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200529000844 OR Part B Supplier - Clinic/Group Practice 6608297692 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2281851Beyond Health LLC15160 NW Laidlaw Road Suite #224, Portland, OR 97229Certificate of waiverMay 11, 2027

National Provider Directory

National Provider Directory

Locations

15160 NW Laidlaw Rd
Ste 224
Portland, OR 97229
Phone (503) 922-7267

4804 NW Bethany Blvd
Ste I2159
Portland, OR 97229

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1104447895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 NW BETHANY BLVD STE I-2-159",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15160 NW LAIDLAW RD STE 224",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972297709",
            "telephone_number": "503-922-7267",
            "fax_number": "678-792-9439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "AGGARWAL",
        "authorized_official_first_name": "MEENAKSHI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "678-447-4921"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beyond health llc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Beyond health llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.