Active NPI
Amish J Desai, MD
- Interventional Cardiology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- MD169913
- Practice address
- 501 N Graham St., Suite 200
Portland, OR 97227 - Phone
- (503) 413-7162
- Fax
- (503) 413-4711
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD00045340 | WA | |
| Interventional Cardiology Physician | 207RI0011X | MD00045340 | WA | |
| Interventional Cardiology Physician | 207RI0011X | MD169913 | OR | Primary |
Addresses
Primary practice location
501 N Graham St., Suite 200
Portland, OR 97227
Mailing address
PO Box 3777
Portland, OR 97208-3777
Phone (503) 413-3900
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500683050 | Medicaid | OR | |
| 8431264 | Medicaid | WA | |
| 1134282932 | Medicaid | WA | |
| 0199511 | Other | WA | LABOR AND INDUSTRIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-7711
1040 NW 22ND Ave
Suite 660
Portland, OR 97210-3083
Phone (503) 413-7162
19300 SW 65TH Ave
Tualatin, OR 97062-7706
Phone (503) 413-4330
2101 NE 139TH St
Suite 250
Vancouver, WA 98686-2309
Phone (360) 487-1717
24800 SE Stark St
Gresham, OR 97030-3378
Phone (503) 661-9150
2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-2042
Hospital & facility affiliations
- Legacy Emanuel Medical Center
- Legacy Good Samaritan Medical Center
- Legacy Meridian Park Medical Center
- Legacy Salmon Creek Medical Center
- Legacy Mount Hood Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- Quality
- 77.21
- Promoting interoperability
- 99.06
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.83 of 100
- Quality
- 96.26
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.84
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.34 of 100
- Quality
- 92.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.53
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.44 of 100
- Quality
- 87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.18
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- Quality
- 77.21
- Promoting interoperability
- 99.06
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- Quality
- 77.21
- Promoting interoperability
- 99.06
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- Quality
- 77.21
- Promoting interoperability
- 99.06
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 23 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD169913 | OR | MD | Interventional Cardiology Physician |
Practice roles
Locations
24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
1040 NW 22nd Ave
Ste 660
Portland, OR 97210
Phone (503) 692-0405
1040 NW 22nd Ave
Ste 630
Portland, OR 97210
Phone (503) 796-2743
1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074
1130 NW 22nd Ave
Ste 400
Portland, OR 97210
Phone (503) 413-6555
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
501 N Graham St
Ste 200
Portland, OR 97227
Phone (503) 413-4488
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582
19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
2101 NE 139th St
Ste 250
Vancouver, WA 98686
Phone (360) 487-1717
Interoperability endpoints
- adesai65211@direct.lhs.org
Organizations & group practices 16
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.
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
-
- Clinic/Center
- Gresham, OR
- NPI 1386919132
-
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
-
- Psychiatric Hospital Unit
- Portland, OR
- NPI 1245773225
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1417977976
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1609896174
-
- Clinic/Center
- Portland, OR
- NPI 1679597108
-
- Hospitalist Physician
- Tualatin, OR
- NPI 1023305034
-
- General Acute Care Hospital
- Gresham, OR
- NPI 1255354700
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003367491
-
- Clinical Medical Laboratory
- Portland, OR
- NPI 1295756898
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
-
- Clinic/Center
- Portland, OR
- NPI 1679597108
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
-
- General Acute Care Hospital
- Gresham, OR
- NPI 1255354700
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485907200000",
"number": "1134282932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3777",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083777",
"telephone_number": "503-413-3900",
"fax_number": "503-413-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N GRAHAM ST., SUITE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97227",
"telephone_number": "503-413-7162",
"fax_number": "503-413-4711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "AMISH",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2017-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WA",
"license": "MD00045340",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "WA",
"license": "MD00045340",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "OR",
"license": "MD169913",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500683050",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8431264",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134282932",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0199511",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}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 Feb 1, 2017; 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.
- 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.