Active NPI
Fawaz S Alhumaid, M.D.
- Clinical Cardiac Electrophysiology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- MD154408
- Practice address
- 10000 SE Main St Ste 60
Portland, OR 97216-2461 - Phone
- (503) 257-0959
- Fax
- (503) 256-7757
- NPI assigned
- Dec 18, 2007
- Last updated
- Feb 12, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | D0068927 | MD | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | MD154408 | OR | Primary |
Addresses
Primary practice location
10000 SE Main St Ste 60
Portland, OR 97216-2461
Mailing address
10000 SE Main St Ste 60
Portland, OR 97216-2461
Phone (503) 257-0959
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
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- George Washington University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10000 SE Main St
Suite 60
Portland, OR 97216-2474
Phone (503) 257-0959
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 38 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0068927 | MD | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Columbia Medical Center | Current | Accepting new patients | |
| Portland Adventist Medical Center | Current | Accepting new patients | |
| Portland Adventist Medical Center | Current | Accepting new patients | |
| Portland Adventist Medical Center | Current | Accepting new patients | |
| Healthcare for the Mid-Columbia Region | Current | Accepting new patients | |
| Portland Adventist Medical Center | Current | Accepting new patients | |
| Mid-Columbia Medical Center | Past | Accepting new patients |
Locations
10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880
14450 SE Royer Rd
Damascus, OR 97089
Phone (503) 658-5521
2700 SE Stratus Ave
Unit 406
McMinnville, OR 97128
Phone (503) 435-1200
10000 SE Main St
Ste 60
Portland, OR 97216
Phone (503) 257-0959
10000 SE Main St
Ste 60B
Portland, OR 97216
Phone (503) 257-0959
10123 SE Market St
Portland, OR 97216
Phone (503) 251-6355
2222 NW Lovejoy St
Ste 606
Portland, OR 97210
Phone (503) 229-7554
1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251
1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201
Interoperability endpoints
- falhumaid154284@direct.ohsu.edu
Organizations & group practices 7
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.
-
dba Adventist Health Medical Group
- Family Medicine Physician
- Portland, OR
- NPI 1750091021
-
dba Adventist Health Columbia Gorge
- General Practice Physician
- The Dalles, OR
- NPI 1053409599
-
dba Adventist Health Portland
- Family Medicine Physician
- Portland, OR
- NPI 1215910302
-
- Emergency Medicine Physician
- The Dalles, OR
- NPI 1497797856
-
dba Adventist Health Portland
- Emergency Medical Services (Emergency Medicine) Physician
- Portland, OR
- NPI 1316502719
-
dba Adventist Health Medical Group
- Anesthesiology Physician
- Portland, OR
- NPI 1437925310
-
dba Adventist Health Columbia Gorge
- Rural Health Clinic/Center
- The Dalles, OR
- NPI 1154351336
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventist Health Portland
- General Acute Care Hospital
- Portland, OR
- NPI 1801887658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1255515938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10000 SE MAIN ST STE 60",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162461",
"telephone_number": "503-257-0959",
"fax_number": "503-256-7757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 SE MAIN ST STE 60",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162461",
"telephone_number": "503-257-0959",
"fax_number": "503-256-7757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALHUMAID",
"first_name": "FAWAZ",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-18",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "MD",
"license": "D0068927",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "OR",
"license": "MD154408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.