Individual provider Active NPI

Fawaz S Alhumaid, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Portland, OR
National Provider Identifier
1255515938
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
MD154408 Issued in OR
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110516000490 OR Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 9739365396 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
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
Portland Adventist Medical CenterGroup PAC ID 3274908819, 273 clinicians

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

ProcedureNumber of procedures
Pacemaker insertion or repair38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0068927MDMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Columbia Medical Center CurrentSince Sep 1, 2021 Accepting new patients
Portland Adventist Medical Center CurrentSince Aug 4, 2011 Accepting new patients
Portland Adventist Medical Center CurrentSince Aug 4, 2011 Accepting new patients
Portland Adventist Medical Center CurrentSince Jul 8, 2023 Accepting new patients
Healthcare for the Mid-Columbia Region Current Accepting new patients
Portland Adventist Medical Center CurrentSince Jul 8, 2023 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.