Individual provider Active NPI

Irina Rozin Cassimatis, M.D.

  • Maternal & Fetal Medicine Physician
  • Portland, OR
National Provider Identifier
1194119172
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
MD209836 Issued in OR
Practice address
3181 SW Sam Jackson Park Rd # L466
Portland, OR 97239-3011
Phone
(503) 494-2101
Fax
(503) 494-5296
NPI assigned
Mar 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD61270523 WA
Maternal & Fetal Medicine Physician 207VM0101X MD209836 OR Primary

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd # L466
Portland, OR 97239-3011

Mailing address

3181 SW Sam Jackson Park Rd # L466
Portland, OR 97239-3098

Other practice location 1

505 NE 87th Ave Ste 160
Vancouver, WA 98664-1965
Phone (360) 514-1060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220713002392 OR Practitioner - Obstetrics/Gynecology 3870872476 Reassigns benefits to 5 organizations
I20220929003047 WA Practitioner - Obstetrics/Gynecology 3870872476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Nebraska College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Professional ServicesGroup PAC ID 4880760107, 1,683 clinicians
PeacehealthGroup PAC ID 8820178288, 245 clinicians

Practice addresses (Care Compare)

1810 E 19TH St
Suite 209
The Dalles, OR 97058-3388
Phone (541) 296-5657

505 NE 87TH Ave
Suite 160
Vancouver, WA 98664-1965
Phone (360) 514-1060

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Professional Services Current Accepting new patients
Tuality Medical Group LLC CurrentSince Aug 1, 2022 Accepting new patients
Portland Adventist Medical Center CurrentSince Oct 1, 2022 Accepting new patients
Portland Adventist Medical Center Current Accepting new patients
Portland Adventist Medical Center CurrentSince Aug 6, 2023 Accepting new patients
Peacehealth CurrentSince Sep 15, 2022 Accepting new patients
Tuality Medical Group LLC CurrentSince Aug 1, 2022 Accepting new patients
Salem Health CurrentSince Oct 31, 2022 Accepting new patients
Salem Health CurrentSince Oct 31, 2022 Accepting new patients
Salem Health Current Accepting new patients
University Professional Services CurrentSince Aug 1, 2022 Accepting new patients
Portland Adventist Medical Center CurrentSince Aug 6, 2023 Accepting new patients
University Professional Services CurrentSince Aug 1, 2022 Accepting new patients
University Professional Services Past Accepting new patients
Oregon Health & Science University Past Accepting new patients

Locations

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

1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354

10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880

14450 SE Royer Rd
Damascus, OR 97089
Phone (503) 658-5521

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

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

3181 SW Sam Jackson Park Rd
#L466
Portland, OR 97239
Phone (503) 418-4500

10101 SE Main St
Ste 3001
Portland, OR 97216
Phone (503) 255-2667

10123 SE Market St
Portland, OR 97216
Phone (503) 251-6355

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830

1810 E 19th St
Ste 209
The Dalles, OR 97058
Phone (541) 296-5657

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

505 NE 87th Ave
Ste 160
Vancouver, WA 98664
Phone (360) 256-4500

1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100

505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854

Interoperability endpoints

  • Direct secure messaging: icassimatis146010@direct.ohsu.edu
  • Direct secure messaging: icassimatis569449@direct.peacehealth.org

Organizations & group practices 15

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.

View all 15

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": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1194119172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD # L466",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD # L466",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-2101",
            "fax_number": "503-494-5296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 NE 87th Ave Ste 160",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986641965",
            "country_code": "US",
            "telephone_number": "360-514-1060",
            "fax_number": "360-514-1065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASSIMATIS",
        "first_name": "IRINA",
        "middle_name": "ROZIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD61270523",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "OR",
            "license": "MD209836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.