Active NPI
Nalini Velayudhan, DO
- Family Medicine Physician
- Tualatin, OR
National Provider Identifier
1104843911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO203436
- Practice address
- 19250 SW 65TH Ave Ste 110
Tualatin, OR 97062-7707 - Phone
- (503) 692-1205
- Fax
- (503) 692-1207
- NPI assigned
- Jul 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO1408 | NV | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | DO1408 | NV | |
| Family Medicine Physician | 207Q00000X | DO203436 | OR | Primary |
Addresses
Primary practice location
19250 SW 65TH Ave Ste 110
Tualatin, OR 97062-7707
Mailing address
PO Box 4825
Portland, OR 97208-4825
Phone (360) 882-2778
Other practice location 1
100 N Green Valley Pkwy
Suite 210
Henderson, NV 89074-6391
Phone (702) 269-9995
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2025 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO1408 | NV | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talbert Medical Group | Past | Accepting new patients | |
| Michael R Falvo DO LTD | Past | Accepting new patients |
Interoperability endpoints
- nalini.velayudhan.1@17650.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Boulder City, NV
- NPI 1669558284
-
- Health Maintenance Organization
- Costa Mesa, CA
- NPI 1497759005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681689600000",
"number": "1104843911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4825",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972084825",
"telephone_number": "360-882-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19250 SW 65TH AVE STE 110",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970627707",
"telephone_number": "503-692-1205",
"fax_number": "503-692-1207"
}
],
"practiceLocations": [
{
"address_1": "100 N Green Valley Pkwy",
"address_2": "Suite 210",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890746391",
"country_code": "US",
"telephone_number": "702-269-9995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELAYUDHAN",
"first_name": "NALINI",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-16",
"last_updated": "2023-04-17",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "DO1408",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "NV",
"license": "DO1408",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "DO203436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.