Active NPI
Poonam Walia Chhibber, MD
- Obesity Medicine (Family Medicine) Physician
- Beaverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Family Medicine) Physician
- License
- MD156845
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD156845 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Primary Care & Weight Science LLC | Family Medicine | Current | 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
- pchhibber32033@theportlandclinic.gardenplot.direct-ci.com
- https://fhir4.healow.com/fhir/r4/JBDIDD/Endpoint/JBDIDD
- 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.
-
- Obesity Medicine (Family Medicine) Physician
- Beaverton, OR
- NPI 1225838071
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.