Active NPI
Shorin Nemeth, DO
- Pain Medicine Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- OP60314074
- Practice address
- 507 NE 47TH Ave Ste 102D
Portland, OR 97213-2236 - Phone
- (503) 215-6168
- NPI assigned
- May 14, 2007
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OP60314074 | WA | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | OP60314074 | WA | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 34009173 | OH | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | OP60314074 | WA | |
| Pain Medicine Physician | 208VP0000X | DO172317 | OR | |
| Pain Medicine Physician | 208VP0000X | OP60314074 | WA | Primary |
Addresses
Primary practice location
507 NE 47TH Ave Ste 102D
Portland, OR 97213-2236
Mailing address
PO Box 3158
Portland, OR 97208-3158
Other practice location 1
820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711
Other practice location 2
820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711
Other practice location 3
5050 NE Hoyt St Ste 454
Portland, OR 97213
Phone (503) 215-6168
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386850972 | Medicaid | WA | |
| 500688466 | Medicaid | OR |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | snemeth536181@oc.providencedirect.org | ||
| Direct Messaging Address | snemeth536181@oc.providencedirect.org | ||
| Direct Messaging Address | snemeth536181@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1200 NW 23Rd Ave
Portland, OR 97210-2906
Phone (503) 413-7074
2101 NE 139TH St
Suite 260
Vancouver, WA 98686-2311
Phone (360) 487-2870
Hospital & facility affiliations
- Legacy Salmon Creek Medical Center
- Legacy Good Samaritan Medical Center
- Legacy Emanuel Medical Center
- Peacehealth Southwest Medical Cente
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.83 of 100
- Quality
- 96.26
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.84
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.34 of 100
- Quality
- 92.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.53
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34009173 | OH | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
| OP60314074 | WA | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
| DO172317 | OR | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Past | Accepting new patients |
Locations
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
1130 NW 22nd Ave
Ste 345
Portland, OR 97210
Phone (503) 413-7513
1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
2101 NE 139th St
Ste 265
Vancouver, WA 98686
Phone (360) 487-2700
2101 NE 139th St
Ste 260
Vancouver, WA 98686
Phone (360) 487-2870
Interoperability endpoints
- snemeth536181@oc.providencedirect.org
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1609896174
-
- Clinic/Center
- Portland, OR
- NPI 1679597108
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
-
- Psychiatric Hospital Unit
- Portland, OR
- NPI 1336162874
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003367491
-
- Clinical Medical Laboratory
- Portland, OR
- NPI 1295756898
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
-
- Clinic/Center
- Portland, OR
- NPI 1679597108
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1386850972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 NE 47TH AVE STE 102D",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132236",
"telephone_number": "503-215-6168"
}
],
"practiceLocations": [
{
"address_1": "820 N Chelan Ave",
"address_purpose": "LOCATION",
"city": "Wenatchee",
"state": "WA",
"postal_code": "988012028",
"country_code": "US",
"telephone_number": "509-663-8711",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "820 N Chelan Ave",
"address_purpose": "LOCATION",
"city": "Wenatchee",
"state": "WA",
"postal_code": "988012028",
"country_code": "US",
"telephone_number": "509-663-8711",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5050 NE Hoyt St Ste 454",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "97213",
"country_code": "US",
"telephone_number": "503-215-6168",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEMETH",
"first_name": "SHORIN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "OP60314074",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "WA",
"license": "OP60314074",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "OH",
"license": "34009173",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "WA",
"license": "OP60314074",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "OR",
"license": "DO172317",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "WA",
"license": "OP60314074",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386850972",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500688466",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "snemeth536181@oc.providencedirect.org",
"affiliation": "N",
"address_1": "4805 NE Glisan St Ste 11N",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972132933",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "snemeth536181@oc.providencedirect.org",
"affiliation": "N",
"address_1": "507 NE 47th Ave Ste 102D",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972132236",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "snemeth536181@oc.providencedirect.org",
"affiliation": "N",
"address_1": "9135 SW Barnes Rd Ste 261",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972256784",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.