Individual provider Active NPI

Tobby N Uzodinma, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1376410985
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10051935 Issued in OR
Practice address
5737 NE 37TH Ave
Portland, OR 97211-7905
Phone
(253) 922-4027
NPI assigned
Oct 20, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10051935 OR Primary

Addresses

Primary practice location

5737 NE 37TH Ave
Portland, OR 97211-7905

Mailing address

2434 W 64TH Ave
Merrillville, IN 46410-2864
Phone (360) 393-5820

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260202000558 OR Practitioner - Nurse Practitioner 6901384858 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altea Medical Oregon LLCGroup PAC ID 7315470895, 13 clinicians
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

1250 SE Roberts Ave
Gresham, OR 97080-7846
Phone (918) 392-1702

127 NE 102ND Ave
Suite a
Portland, OR 97220-4152
Phone (541) 998-2395

819 NE 122ND Ave
Portland, OR 97230-2002
Phone (503) 252-0085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10051935ORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical Oregon LLC CurrentSince Dec 13, 2025 Accepting new patients
Post Acute Medical PLLC CurrentSince Dec 13, 2025 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

1250 SE Roberts Ave
Gresham, OR 97080
Phone (503) 667-5430

530 Birch St
Junction City, OR 97448
Phone (541) 998-2395

637 Ash St
Myrtle Point, OR 97458
Phone (541) 572-2066

127 NE 102nd Ave
Ste A
Portland, OR 97220
Phone (541) 998-2395

5737 NE 37th Ave
Portland, OR 97211
Phone (503) 288-5967

Organizations & group practices 2

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": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1376410985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 W 64TH AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102864",
            "telephone_number": "360-393-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5737 NE 37TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972117905",
            "telephone_number": "253-922-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZODINMA",
        "first_name": "TOBBY",
        "middle_name": "N",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10051935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.