Individual provider Active NPI

Adam Barmada, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Portland, OR
National Provider Identifier
1235108929
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
MD23796 Issued in OR
Practice address
501 N Graham St
Suite 200
Portland, OR 97227-1654
Phone
(503) 413-4488
Fax
(503) 413-1812
NPI assigned
Mar 15, 2006
Last updated
Oct 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X MD23796 OR Primary

Addresses

Primary practice location

501 N Graham St
Suite 200
Portland, OR 97227-1654

Mailing address

501 N Graham St
Suite 200
Portland, OR 97227-1654
Phone (503) 413-4488

Other identifiers 1

IdentifierTypeStateIssuer
286625MedicaidOR

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
I20040504000003 OR Practitioner - Orthopedic Surgery 7618965260 Reassigns benefits to 3 organizations
I20190531000713 WA Practitioner - Orthopedic Surgery 7618965260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Alabama School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

1130 NW 22ND Ave
Suite 220
Portland, OR 97210-2969
Phone (503) 413-8988

450 N Graham St
Portland, OR 97227-1682
Phone (503) 413-4488

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Salmon Creek Hospital CurrentSince Apr 1, 2019 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince May 20, 2014 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Mar 30, 2017 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Mar 30, 2017 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince May 20, 2014 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Apr 1, 2019 Accepting new patients
Legacy Clinics LLC CurrentSince Feb 1, 2004 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Current Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Legacy Clinics LLC CurrentSince Feb 1, 2004 Accepting new patients

Locations

1960 NW 167th Pl
Ste 100
Beaverton, OR 97006
Phone (503) 672-6000

1960 NW 167th Pl
Ste 200
Beaverton, OR 97006
Phone (503) 413-4488

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

501 N Graham St
Ste 200
Portland, OR 97227
Phone (503) 413-4488

2101 NE 139th St
Ste 250
Vancouver, WA 98686
Phone (360) 487-1717

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Interoperability endpoints

  • Direct secure messaging: abarmada2906@direct.lhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1235108929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N GRAHAM ST",
            "address_2": "SUITE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271654",
            "telephone_number": "503-413-4488",
            "fax_number": "503-413-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N GRAHAM ST",
            "address_2": "SUITE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271654",
            "telephone_number": "503-413-4488",
            "fax_number": "503-413-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARMADA",
        "first_name": "ADAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "OR",
            "license": "MD23796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286625",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.