NPIMap

Organization Active NPI

Uptown Providers PC

  • General Practice Physician
  • Lake Oswego, OR
National Provider Identifier
1316249394
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
UPTOWN PROVIDERS PC
Practice address
17437 Boones Ferry Rd
Ste 100
Lake Oswego, OR 97035-6201
Phone
(503) 305-6262
Fax
(503) 305-6078
NPI assigned
Nov 24, 2010
Last updated
Jan 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Authorized official

Name
Guru Sankar
Title
Center Director
Phone
(503) 744-0399

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

17437 Boones Ferry Rd
Ste 100
Lake Oswego, OR 97035-6201

Mailing address

17437 Boones Ferry Rd
Ste 100
Lake Oswego, OR 97035-6201
Phone (503) 305-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120202000068 OR Part B Supplier - Clinic/Group Practice 4284891243 Receives reassigned benefits from 59 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Beaverton, OR; Hillsboro, OR; Oregon City, OR; Portland, OR; Tigard, OR

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

17437 Boones Ferry Rd
Lake Oswego, OR 97035

25 NW 23rd Pl
Portland, OR 97210

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1316249394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17437 BOONES FERRY RD",
            "address_2": "STE 100",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970356201",
            "telephone_number": "503-305-6262",
            "fax_number": "503-305-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17437 BOONES FERRY RD",
            "address_2": "STE 100",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970356201",
            "telephone_number": "503-305-6262",
            "fax_number": "503-305-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN PROVIDERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "SANKAR",
        "authorized_official_first_name": "GURU",
        "authorized_official_title_or_position": "CENTER DIRECTOR",
        "authorized_official_telephone_number": "503-744-0399"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.