Individual provider Active NPI

Parham K Ghavami, MD

  • Family Medicine Physician
  • Saint Paul, MN
National Provider Identifier
1386819480
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD188634 Issued in OR
Practice address
2500 Como Ave
Saint Paul, MN 55108-1460
Phone
(952) 853-8800
Fax
(651) 641-6205
NPI assigned
Apr 29, 2008
Last updated
Dec 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 62373 MN
Family Medicine Physician 207Q00000X MD188634 OR Primary

Addresses

Primary practice location

2500 Como Ave
Saint Paul, MN 55108-1460

Mailing address

PO Box 3777
Portland, OR 97208-3777

Other practice location 1

2850 SE Powell Valley Rd
Gresham, OR 97080
Phone (503) 666-5050

Other practice location 2

10670 NE Cornell Rd Ste 101
Hillsboro, OR 97124-9221
Phone (503) 216-9360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MN, OR3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20080730000020 WA Practitioner - Family Practice 0345314076 Reassigns benefits to 2 organizations
I20170717000655 MN Practitioner - Family PracticePractitioner - Pediatric Medicine 0345314076 Reassigns benefits to 1 organization
I20190405002307 OR Practitioner - Family PracticePractitioner - Pediatric Medicine 0345314076 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Pediatric Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uptown Providers PCGroup PAC ID 4284891243, shared by 2 NPIs, 43 clinicians
Group Health IncGroup PAC ID 1759293954, 1,627 clinicians
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

11675 SW Pacific Hwy
Tigard, OR 97223-8672
Phone (503) 305-6262

180 NE 192ND Ave
Suite 505
Vancouver, WA 98684-7525
Phone (503) 305-6262

2500 Como Ave
Saint Paul, MN 55108-1460
Phone (651) 641-6200

2850 SE Powell Valley Rd
Gresham, OR 97080-1494
Phone (503) 666-5050

3425 SE 192ND Ave
Suite 106
Vancouver, WA 98683-1440
Phone (360) 205-2960

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62373MNMDFamily Medicine Physician
MD188634ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uptown Providers PC CurrentSince Dec 15, 2024 Accepting new patients
Uptown Providers PC CurrentSince Dec 30, 2024 Accepting new patients
Uptown Providers PC Current Accepting new patients
Group Health, Inc. CurrentSince Mar 16, 2020 Accepting new patients
Legacy Clinics LLC CurrentSince Dec 19, 2024 Accepting new patients
Legacy Clinics LLC Family Medicine CurrentSince Dec 19, 2024 Accepting new patients
Uptown Providers PC CurrentSince Dec 15, 2024 Accepting new patients
Bourget Health Services Inc Past Accepting new patients
Public Hospital District 1 of King County Past Accepting new patients

Locations

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

8170 33rd Ave S
Minneapolis, MN 55425
Phone (952) 883-5463

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

2500 Como Ave
Saint Paul, MN 55108
Phone (651) 641-6200

8450 Seasons Pkwy
Woodbury, MN 55125
Phone (651) 702-5300

14278 SW Allen Blvd
Beaverton, OR 97005

2870 SW Cedar Hills Blvd
Beaverton, OR 97005
Phone (503) 646-9222

2850 SE Powell Valley Rd
Gresham, OR 97080
Phone (503) 666-5050

1071 SE Tualatin Valley Hwy
Hillsboro, OR 97123

397 Warner Milne Rd
Oregon City, OR 97045

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

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

6633 NE Sandy Blvd
Portland, OR 97213

11675 SW Pacific Hwy
Tigard, OR 97223

180 NE 192nd Ave
Ste 505
Vancouver, WA 98684

200 NE Mother Joseph Pl
Ste 410
Vancouver, WA 98664
Phone (503) 413-3580

305 SE Chkalov Dr
Ste 170
Vancouver, WA 98683
Phone (360) 799-3912

3425 SE 192nd Ave
Ste 106
Vancouver, WA 98683
Phone (360) 205-2960

7500 NE 117th Ave
Vancouver, WA 98662

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1386819480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3777",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 COMO AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081460",
            "telephone_number": "952-853-8800",
            "fax_number": "651-641-6205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2850 SE Powell Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "97080",
            "country_code": "US",
            "telephone_number": "503-666-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10670 NE Cornell Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971249221",
            "country_code": "US",
            "telephone_number": "503-216-9360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHAVAMI",
        "first_name": "PARHAM",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "62373",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD188634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.