Individual provider Active NPI

Patrick David Evers, MD

  • Pediatric Cardiology Physician
  • Portland, OR
National Provider Identifier
1194090456
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
MD200817 Issued in OR
Practice address
3181 SW Sam Jackson Park Rd # Cdrc3134
Portland, OR 97239-3079
Phone
(503) 867-6111
NPI assigned
Mar 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X MD200817 OR Primary

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd # Cdrc3134
Portland, OR 97239-3079

Mailing address

3181 SW Sam Jackson Park Rd # Cdrc3134
Portland, OR 97239-3079
Phone (503) 867-6111

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
I20200722003908 OR Practitioner - Pediatric Medicine 5799006359 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of California, Geffen School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Professional ServicesGroup PAC ID 4880760107, 1,683 clinicians

Practice addresses (Care Compare)

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD200817ORMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Health System, Inc. Current Accepting new patients
Asante Three Rivers Medical Center, LLC CurrentSince Sep 1, 2022 Accepting new patients
Asante Ashland Community Hospital, LLC CurrentSince Sep 1, 2022 Accepting new patients
University Professional Services CurrentSince Jul 1, 2020 Accepting new patients
University Professional Services CurrentSince Jul 1, 2020 Accepting new patients
St. Charles Health System, Inc. CurrentSince Jul 31, 2025 Accepting new patients
Asante CurrentSince Sep 1, 2022 Accepting new patients
Asante CurrentSince Sep 1, 2022 Accepting new patients
St. Charles Health System, Inc. CurrentSince Jul 31, 2025 Accepting new patients
University Professional Services Current Accepting new patients

Locations

29358 Network Pl
Chicago, IL 60673

280 Maple St
Ashland, OR 97520
Phone (541) 201-4000

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333

901 E 18th Ave
Eugene, OR 97403
Phone (541) 346-3575

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

3181 SW Sam Jackson Park Rd
#3134
Portland, OR 97239
Phone (503) 867-6111

1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131

875 Oak St SE
Salem, OR 97301
Phone (503) 561-5719

Interoperability endpoints

  • Direct secure messaging: pevers75342@direct.ohsu.edu

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1194090456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD # CDRC3134",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393079",
            "telephone_number": "503-867-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD # CDRC3134",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393079",
            "telephone_number": "503-867-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERS",
        "first_name": "PATRICK",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-19",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "OR",
            "license": "MD200817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.