Individual provider Active NPI

Amutha V Rajagopal, M. D.

  • Internal Medicine Physician
  • Portland, OR
National Provider Identifier
1124465745
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD227060 Issued in OR
Practice address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone
(503) 494-5862
Fax
(503) 494-6344
NPI assigned
May 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD227060 OR
Addiction Medicine (Internal Medicine) Physician 207RA0401X MD227060 OR
Addiction Medicine (Preventive Medicine) Physician 2083A0300X MD227060 OR
Internal Medicine Physician 207R00000X A135167 CA
Internal Medicine Physician 207R00000X MD227060 OR Primary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X A135167 CA
Infectious Disease Physician 207RI0200X 135167 CA
Public Health & General Preventive Medicine Physician 2083P0901X MD227060 OR

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Mailing address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-5862

Other practice location 1

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-6222

Other practice location 2

995 Potrero Avenue
Ward 86
San Francisco, CA 94110
Phone (628) 206-2403

Other practice location 3

10123 SE Market St
Portland, OR 97216-2532
Phone (503) 257-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190705000963 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 0244522720 Reassigns benefits to 6 organizations
I20250826003512 OR Practitioner - Internal Medicine 0244522720 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, San Diego School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portland Adventist Medical CenterGroup PAC ID 3274908819, 273 clinicians
Tuality Medical Group LLCGroup PAC ID 7416173414, 289 clinicians

Practice addresses (Care Compare)

10123 SE Market St
Portland, OR 97216-2532
Phone (503) 257-2500

335 SE 8TH Ave
Hillsboro, OR 97123-4246
Phone (503) 681-1111

Hospital & facility affiliations

  • Adventist Health Portland Hospital, Portland, OR, CCN 380060
  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009
  • Zuckerberg San Francisco General Hosp & Trauma Ctr Hospital, San Francisco, CA, CCN 050228

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
73.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A135167CAMDInternal Medicine Physician
135167CAMDInfectious Disease Physician
MD227060ORMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group Current Accepting new patients
City & County of San Francisco Current Accepting new patients
University Professional Services CurrentSince Aug 1, 2025 Accepting new patients
University Professional Services Current Accepting new patients
Tuality Medical Group LLC Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
Portland Adventist Medical Center Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
University of California SFGH Medical Group Infectious Disease CurrentSince Jan 18, 2025 Accepting new patients
City & County of San Francisco CurrentSince Jan 4, 2025 Accepting new patients
Portland Adventist Medical Center CurrentSince Aug 1, 2025 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University Professional Services CurrentSince Aug 1, 2025 Accepting new patients
University of California SFGH Medical Group CurrentSince Jan 18, 2025 Accepting new patients
University of California SFGH Medical Group Addiction Medicine CurrentSince Jan 18, 2025 Accepting new patients
University of California SFGH Medical Group Internal Medicine CurrentSince Jan 18, 2025 Accepting new patients
University of California SFGH Medical Group CurrentSince Jan 26, 2025 Accepting new patients
City and County of San Francisco CurrentSince Jan 4, 2025 Accepting new patients
Tuality Medical Group LLC CurrentSince Nov 1, 2025 Accepting new patients
Regents of the University of California Internal Medicine CurrentSince May 15, 2019 Accepting new patients
Regents of the University of California CurrentSince May 15, 2019 Accepting new patients
Regents of the University of California Current Accepting new patients
University Professional Services Past Accepting new patients

Locations

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

1001 Potrero Ave
Bldg 80
San Francisco, CA 94110
Phone (628) 206-8610

1001 Potrero Ave
Rm 5G1
San Francisco, CA 94110
Phone (628) 206-3503

1001 Potrero Ave
Bldg 30
San Francisco, CA 94110
Phone (415) 206-5438

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

995 Potrero Ave
Bldg 80
San Francisco, CA 94110
Phone (415) 206-8611

375 Laguna Honda Blvd
San Francisco, CA 94116
Phone (415) 759-2300

1001 Potrero Ave
Rm 5H22
San Francisco, CA 94110
Phone (628) 206-4774

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

10123 SE Market St
Portland, OR 97216
Phone (503) 251-6355

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

Interoperability endpoints

  • Direct secure messaging: arajagopal198993@direct.ohsu.edu

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 4

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": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1124465745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-5862",
            "fax_number": "503-494-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-5862",
            "fax_number": "503-494-6344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Arbor Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92103",
            "country_code": "US",
            "telephone_number": "619-543-6222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "995 Potrero Avenue",
            "address_2": "Ward 86",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94110",
            "country_code": "US",
            "telephone_number": "628-206-2403",
            "fax_number": "415-502-4777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10123 SE Market St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972162532",
            "country_code": "US",
            "telephone_number": "503-257-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJAGOPAL",
        "first_name": "AMUTHA",
        "middle_name": "V",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OR",
            "license": "MD227060",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "OR",
            "license": "MD227060",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "OR",
            "license": "MD227060",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A135167",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD227060",
            "primary": true
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A135167",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "135167",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "OR",
            "license": "MD227060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.