Individual provider Active NPI

Burton G Schaber

  • Medical Physician Assistant
  • Portland, OR
National Provider Identifier
1457082075
Registry record updated Feb 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA219164 Issued in OR
Practice address
2275 W Burnside St Ste a
Portland, OR 97210-3541
Phone
(503) 575-7112
NPI assigned
Jun 23, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA219164 OR Primary
Medical Physician Assistant 363AM0700X 030753 NY

Addresses

Primary practice location

2275 W Burnside St Ste a
Portland, OR 97210-3541

Mailing address

2275 W Burnside St Ste a
Portland, OR 97210-3541
Phone (503) 575-7112

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
I20240606003106 OR Practitioner - Physician Assistant 1658813555 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
030753NYMDPharmacist
PA219164ORMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fulton Family Psychiatry PC PastSince Jan 22, 2025 Accepting new patients
Allergy Asthma & Dermatology Associates PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: burton.schaber@257.emedpractice.direct-ci.com

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Know Allergy, LLC 4 clinicians

Practice addresses (Care Compare)

2275 W Burnside St
Portland, OR 97210-3541
Phone (503) 297-4779

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771632000000",
    "number": "1457082075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 W BURNSIDE ST STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103541",
            "telephone_number": "503-575-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 W BURNSIDE ST STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103541",
            "telephone_number": "503-575-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHABER",
        "first_name": "BURTON",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-23",
        "last_updated": "2026-02-21",
        "certification_date": "2026-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA219164",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "030753",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.