Zoha Ahmad
Individual provider Active NPI Medical Physician Assistant · Portland, OR
NPI 1336890896 · NPPES record last updated Jun 8, 2023
Key facts
- NPI
- 1336890896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA213478 (OR)
- Practice address
- 3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011 - Phone
- (503) 494-3442
- Fax
- (503) 494-5330
- NPI assigned
- Jan 15, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Philadelphia College of Osteopathic Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University Professional Services
Practice addresses (Care Compare)
3377 Riverbend Dr
Springfield, OR 97477-8803
Phone (541) 222-7300
Hospital & facility affiliations
- Ohsu Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.11 of 100
- Quality
- 84.29
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230322001378 | OR | Practitioner - Physician Assistant | 2163896754 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA213478 | OR | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Professional Services | Current |
Accepting new patients | |
| University Professional Services | Current |
Accepting new patients |
Locations
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
Interoperability endpoints
- zahmad116455@direct.ohsu.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PA | ||
| Medical Physician Assistant | 363AM0700X | PA213478 | OR | Yes |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-3442
Other practice location 1
4170 City Ave
Philadelphia, PA 19131-1610
Phone (541) 602-3460
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000 | Medicaid | OR |
Other providers in Portland, OR
- Madiha Ahmad
- Mahnaz Ahmad
- Masud Ahmad
- Omayma Ahmad
- Rehan Saeed Ahmad
- Yasaman Ahmadi-Kashani
- Sabrena Ahmadi
- Roxanne Hetty Ahmadpour
- Andrew Joseph Ahmann
- Tazma Ahmed-Datta
All providers in Portland, OR · Medical Physician Assistant in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.