Individual provider Active NPI

Hadi Farah, M.D.

  • Psychiatry Physician
  • Portland, OR
National Provider Identifier
1316367444
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
186898 Issued in OR
Practice address
3300 NW 185TH Ave # 1048
Portland, OR 97229-3406
Phone
(503) 308-8115
NPI assigned
Apr 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 186898 OR Primary
Child & Adolescent Psychiatry Physician 2084P0804X 186898 OR

Addresses

Primary practice location

3300 NW 185TH Ave # 1048
Portland, OR 97229-3406

Mailing address

3300 NW 185TH Ave # 1048
Portland, OR 97229-3406
Phone (503) 308-8115

Other practice location 1

3901 Chrysler Service Dr.
Suite Number 3-A
Detroit, MI 48201-2167
Phone (313) 993-3416

Other practice location 2

15220 NW Laidlaw Rd Ste 100
Portland, OR 97229-7717
Phone (503) 418-2000

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
I20231030001133 OR Practitioner - Psychiatry 7012210214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2009
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)

15220 NW Laidlaw Rd
Suite 100
Portland, OR 97229-7717
Phone (503) 418-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
186898ORMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Professional Services Current Accepting new patients
University Professional Services CurrentSince Oct 17, 2023 Accepting new patients
Hadi Farah, MD, LLC Psychiatry Current Accepting new patients
University Professional Services CurrentSince Oct 17, 2023 Accepting new patients

Locations

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

3300 NW 185th Ave
Portland, OR 97229
Phone (503) 308-8115

15220 NW Laidlaw Rd
Ste 100
Portland, OR 97229
Phone (503) 418-2000

Interoperability endpoints

  • Direct secure messaging: hfarah107387@direct.ohsu.edu

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1316367444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 NW 185TH AVE # 1048",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972293406",
            "telephone_number": "503-308-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 NW 185TH AVE # 1048",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972293406",
            "telephone_number": "503-308-8115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Chrysler Service Dr.",
            "address_2": "Suite Number 3-A",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012167",
            "country_code": "US",
            "telephone_number": "313-993-3416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15220 NW Laidlaw Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972297717",
            "country_code": "US",
            "telephone_number": "503-418-2000",
            "fax_number": "503-418-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARAH",
        "first_name": "HADI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "186898",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OR",
            "license": "186898",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.