Individual provider Active NPI

Bassel Obaid

  • Hospitalist Physician
  • Portland, OR
National Provider Identifier
1366693210
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD214768 Issued in OR
Practice address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone
(503) 494-1164
Fax
(503) 494-5502
NPI assigned
Oct 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD214768 OR
Internal Medicine Physician 207R00000X MD60268718 WA
Hospitalist Physician 208M00000X MD60268718 WA
Hospitalist Physician 208M00000X MD214768 OR Primary

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) 494-1164

Other practice location 1

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-2727

Other identifiers 2

IdentifierTypeStateIssuer
2020384MedicaidWA
0296400OtherWAWA L & I

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120723000733 WA Practitioner - Internal Medicine 3072779842 Reassigns benefits to 4 organizations
I20230926002210 OR Practitioner - Internal Medicine 3072779842 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Group PCGroup PAC ID 8820980188, 21 clinicians
Tuality Medical Group LLCGroup PAC ID 7416173414, 289 clinicians

Practice addresses (Care Compare)

3325 Pocahontas Rd
Baker City, OR 97814-1464
Phone (214) 592-1329

335 SE 8TH Ave
Hillsboro, OR 97123-4246
Phone (503) 681-1111

914 S Scheuber Rd
Centralia, WA 98531-9027
Phone (360) 736-2803

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60268718WAMDInternal Medicine Physician
MD214768ORMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Apr 1, 2017 Accepting new patients
Apogee Medical Group PC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Apogee Medical Group PC Internal Medicine Current Accepting new patients
Apogee Medical Group PC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
University Professional Services CurrentSince Mar 1, 2024 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Apr 1, 2017 Accepting new patients
University Professional Services CurrentSince Mar 1, 2024 Accepting new patients
Legacy Salmon Creek Hospital Hospitalist CurrentSince Oct 6, 2021 Accepting new patients
Legacy Clinics LLC Internal Medicine CurrentSince Aug 14, 2023 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Oct 6, 2021 Accepting new patients
CRM Physicians, LLC Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Providence Health & Services Washington CurrentSince Oct 1, 2016 Accepting new patients
Tuality Medical Group LLC Internal Medicine CurrentSince Mar 1, 2024 Accepting new patients
Tuality Medical Group LLC CurrentSince Mar 1, 2024 Accepting new patients
Providence Health & Services Washington Past Accepting new patients

Locations

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

3325 Pocahontas Rd
Baker City, OR 97814
Phone (541) 523-1797

6800 SW 105th Ave
Beaverton, OR 97008

6800 SW 105th Ave
Ste 206
Beaverton, OR 97008

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

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

650 SE Oak St
Hillsboro, OR 97123
Phone (503) 648-8588

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

2520 Cherry Ave
Bremerton, WA 98310
Phone (360) 377-3911

914 S Scheuber Rd
Centralia, WA 98531
Phone (360) 330-8516

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

801 SE Park Crest Ave
Vancouver, WA 98683
Phone (360) 253-2879

Interoperability endpoints

  • Direct secure messaging: bobaid3787428@direct.trinity-health.org
  • Direct secure messaging: bobaid172225@direct.ohsu.edu

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1366693210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-1164",
            "fax_number": "503-494-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-1164",
            "fax_number": "503-494-5502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322367",
            "country_code": "US",
            "telephone_number": "360-414-2727",
            "fax_number": "360-414-2739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBAID",
        "first_name": "BASSEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-08",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD214768",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60268718",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD60268718",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "MD214768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020384",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L & I",
            "identifier": "0296400",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.