Individual provider Active NPI

Mubeen Jafri, MD

  • Pediatric Surgery Physician
  • Portland, OR
National Provider Identifier
1245433184
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
MD155230 Issued in OR
Practice address
501 N Graham St
Suite 300
Portland, OR 97227-1654
Phone
(503) 460-0065
Fax
(503) 460-0608
NPI assigned
Jun 7, 2007
Last updated
Feb 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X MD155230 OR Primary

Addresses

Primary practice location

501 N Graham St
Suite 300
Portland, OR 97227-1654

Mailing address

1200 NW Marshall St
#1317
Portland, OR 97209-3165
Phone (503) 915-9838

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
I20110913000563 OR Practitioner - General Surgery 8022289511 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Eastern Virginia Medical School, 2002
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)

15700 SW Greystone CT
Beaverton, OR 97006-6011
Phone (503) 494-3442

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD155230ORMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Current Accepting new patients
University Professional Services CurrentSince Sep 1, 2011 Accepting new patients
Tuality Medical Group LLC CurrentSince Oct 28, 2019 Accepting new patients
Providence Health & Services - Oregon CurrentSince Nov 29, 2023 Accepting new patients
University Professional Services CurrentSince Sep 1, 2011 Accepting new patients
University Professional Services Current Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Apr 4, 2018 Accepting new patients
Tuality Medical Group LLC CurrentSince Oct 28, 2019 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Apr 4, 2018 Accepting new patients
Providence Health & Services Oregon CurrentSince Nov 29, 2023 Accepting new patients
Providence Health & Services - Oregon CurrentSince Nov 29, 2023 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Nov 29, 2023 Accepting new patients
Shriners Hospitals for Children Past Accepting new patients
Oregon Health & Science University Past Accepting new patients

Locations

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

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

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

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

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

501 N Graham St
Ste 300
Portland, OR 97227
Phone (503) 413-4300

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

Interoperability endpoints

  • Direct secure messaging: mjafrimd74339@direct.ohsu.edu

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1245433184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NW MARSHALL ST",
            "address_2": "#1317",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093165",
            "telephone_number": "503-915-9838",
            "fax_number": "503-460-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N GRAHAM ST",
            "address_2": "SUITE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271654",
            "telephone_number": "503-460-0065",
            "fax_number": "503-460-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFRI",
        "first_name": "MUBEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "OR",
            "license": "MD155230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.