Individual provider Active NPI

Poonam Walia Chhibber, MD

  • Obesity Medicine (Family Medicine) Physician
  • Beaverton, OR
National Provider Identifier
1184852899
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X
License
MD156845 Issued in OR
Practice address
19755 SW Tualatin Valley Hwy
Beaverton, OR 97003-2338
Phone
(503) 922-2888
Fax
(971) 402-1727
NPI assigned
Jul 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Family Medicine) Physician 207QB0002X MD156845 OR Primary
Family Medicine Physician 207Q00000X MD156845 OR

Addresses

Primary practice location

19755 SW Tualatin Valley Hwy
Beaverton, OR 97003-2338

Mailing address

19755 SW Tualatin Valley Hwy
Beaverton, OR 97003-2338
Phone (503) 922-2888

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
I20120712000899 OR Practitioner - Family Practice 9133384365 Practice locations: Beaverton, OR; Portland, OR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1585 SW Marlow Ave
Suite 220
Portland, OR 97225-5178
Phone (503) 922-2888

19755 SW Tualatin Valley Hwy
Beaverton, OR 97003-2338
Phone (503) 922-2888

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD156845ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Primary Care & Weight Science LLC Family Medicine CurrentSince Mar 1, 2025 Accepting new patients

Locations

19755 SW Tualatin Valley Hwy
Beaverton, OR 97003
Phone (503) 430-5915

1585 SW Marlow Ave
Ste 220
Portland, OR 97225
Phone (503) 729-6662

Interoperability endpoints

  • Direct secure messaging: pchhibber32033@theportlandclinic.gardenplot.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JBDIDD/Endpoint/JBDIDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JBDIDD

Organizations & group practices 1

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": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1184852899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19755 SW TUALATIN VALLEY HWY",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970032338",
            "telephone_number": "503-922-2888",
            "fax_number": "971-402-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19755 SW TUALATIN VALLEY HWY",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970032338",
            "telephone_number": "503-922-2888",
            "fax_number": "971-402-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHHIBBER",
        "first_name": "POONAM",
        "middle_name": "WALIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "OR",
            "license": "MD156845",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD156845",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.