Active NPI
Parham K Ghavami, MD
- Family Medicine Physician
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD188634
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Uptown Providers PC
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
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62373 | MN | MD | Family Medicine Physician |
| MD188634 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uptown Providers PC | Current | Accepting new patients | |
| Uptown Providers PC | Current | Accepting new patients | |
| Uptown Providers PC | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Legacy Clinics LLC | Family Medicine | Current | Accepting new patients |
| Uptown Providers PC | Current | 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.
-
dba HealthPartners Medical Group
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
dba Legacy Medical Group Firwood
- Rural Health Clinic/Center
- Sandy, OR
- NPI 1730472192
-
- General Practice Physician
- Portland, OR
- NPI 1144598293
-
dba Pathology Associates Med Laboratories
- Clinical Medical Laboratory
- Spokane, WA
- NPI 1033117338
-
dba Prescription Pad Pharmacy South
- Institutional Pharmacy
- Renton, WA
- NPI 1679862189
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.