NPIMap

Organization Active NPI

Uptown Providers PC

  • General Practice Physician
  • Portland, OR
National Provider Identifier
1144598293
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
UPTOWN PROVIDERS PC
Practice address
25 NW 23Rd PL
Ste 11
Portland, OR 97210-5580
Phone
(503) 305-6262
Fax
(503) 227-6262
NPI assigned
Dec 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Authorized official

Name
Mr. Guru Sankar
Title
Center Director
Phone
(503) 305-6262

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

25 NW 23Rd PL
Ste 11
Portland, OR 97210-5580

Mailing address

25 NW 23Rd PL
Ste 11
Portland, OR 97210-5580
Phone (503) 305-6262

Other practice location 1

11786 NW Cedar Falls Dr
Ste 120
Portland, OR 97229
Phone (503) 305-6262

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120202000068 OR Part B Supplier - Clinic/Group Practice 4284891243 Receives reassigned benefits from 59 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Beaverton, OR; Hillsboro, OR; Oregon City, OR; Portland, OR; Tigard, OR

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

397 Warner Milne Rd
Oregon City, OR 97045

25 NW 23rd Pl
Ste 11
Portland, OR 97210
Phone (503) 766-2215

6633 NE Sandy Blvd
Ste 11
Portland, OR 97213

Practitioners & affiliated clinicians

Practitioners 73

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

View all 73

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1144598293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NW 23RD PL",
            "address_2": "STE 11",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105580",
            "telephone_number": "503-305-6262",
            "fax_number": "503-227-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NW 23RD PL",
            "address_2": "STE 11",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105580",
            "telephone_number": "503-305-6262",
            "fax_number": "503-227-6262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11786 NW Cedar Falls Dr",
            "address_2": "Ste 120",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97229",
            "country_code": "US",
            "telephone_number": "503-305-6262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UPTOWN PROVIDERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "SANKAR",
        "authorized_official_first_name": "GURU",
        "authorized_official_title_or_position": "CENTER DIRECTOR",
        "authorized_official_telephone_number": "503-305-6262",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.