Individual provider Active NPI

Radhika Sekhri Breaden, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Portland, OR
National Provider Identifier
1154462257
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
MD22150 Issued in OR
Practice address
11790 SW Barnes Rd Ste 330
Portland, OR 97225-5935
Phone
(503) 228-4414
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD22150 OR
Obesity Medicine (Internal Medicine) Physician 207RB0002X MD22150 OR
Clinical Informatics Physician 2083C0008X MD22150 OR
Sleep Medicine (Internal Medicine) Physician 207RS0012X MD22150 OR Primary

Addresses

Primary practice location

11790 SW Barnes Rd Ste 330
Portland, OR 97225-5935

Mailing address

11790 SW Barnes Rd Ste 330
Portland, OR 97225-5935
Phone (503) 228-4414

Other practice location 1

2120 Exchange St Ste 302
Astoria, OR 97103-3364
Phone (503) 325-3126

Other names 1

  • Dr. Radhika Sekhri Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080313000273 OR Practitioner - Internal MedicinePractitioner - Sleep Medicine 0749365815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sleep Medicine
Education
University of California, San Francisco School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gerald B Rich MD PCGroup PAC ID 0143378471, 5 clinicians

Practice addresses (Care Compare)

11790 SW Barnes Rd
Suite 330
Portland, OR 97225-5935
Phone (503) 228-4414

Merit-based Incentive Payment System (MIPS)

Final score
85 of 100Reported as group
Quality
75.24
Promoting interoperability
100
Improvement activities
40
Cost
74.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD22150ORMDObesity Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gerald B Rich MD PC Sleep Medicine Current Accepting new patients
Gerald B Rich, MD, PC Sleep Medicine CurrentSince Dec 4, 2012 Accepting new patients

Locations

2158 Exchange St
Ste 302
Astoria, OR 97103
Phone (503) 325-3126

11790 SW Barnes Rd
Ste 330
Portland, OR 97225
Phone (503) 228-4414

Interoperability endpoints

  • Direct secure messaging: rbreaden94804@direct.lhs.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1154462257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11790 SW BARNES RD STE 330",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255935",
            "telephone_number": "503-228-4414",
            "fax_number": "503-228-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11790 SW BARNES RD STE 330",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255935",
            "telephone_number": "503-228-4414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 Exchange St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "OR",
            "postal_code": "971033364",
            "country_code": "US",
            "telephone_number": "503-325-3126",
            "fax_number": "503-228-7293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREADEN",
        "first_name": "RADHIKA",
        "middle_name": "SEKHRI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD22150",
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "OR",
            "license": "MD22150",
            "primary": false
        },
        {
            "code": "2083C0008X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Clinical Informatics",
            "state": "OR",
            "license": "MD22150",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "OR",
            "license": "MD22150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RADHIKA",
            "last_name": "SEKHRI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.