Active NPI
Jonathan T. Pak, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- MD153593
- Practice address
- 6200 N la Cholla Blvd
Tucson, AZ 85741-3529 - Phone
- (520) 742-9000
- NPI assigned
- Jun 15, 2007
- Last updated
- Oct 7, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 71961 | AZ | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD61099515 | WA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD153593 | OR | Primary |
Addresses
Primary practice location
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Mailing address
3181 SW Sam Jackson Park Rd
Mail Code Uhn67
Portland, OR 97239-3011
Phone (206) 369-4424
Other practice location 1
3181 SW Sam Jackson Park Rd
Mail Code UHN67
Portland, OR 97239-3011
Phone (503) 494-8211
Other practice location 2
200 NE Mother Joseph Pl Ste 330
Vancouver, WA 98664-3288
Phone (360) 514-2990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, MT, AZ
- 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
- Critical Care (Intensivists)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1460 G St
Springfield, OR 97477-4112
Phone (541) 744-8613
15700 SW Greystone CT
Beaverton, OR 97006-6011
Phone (503) 494-3442
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 229-2657
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71961 | AZ | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Professional Services | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Tuality Medical Group LLC | Current | Accepting new patients | |
| McKenzie Physician Services LLC | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| RCHP Billings - Missoula LLC | Current | Accepting new patients | |
| Northwest HBP Medical Services LLC | Current | Accepting new patients | |
| Sound Physicians Intensivists of Washington PLLC | Critical Care Medicine | Current | Accepting new patients |
| Tuality Medical Group LLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Montana - Missoula PC | Critical Care Medicine | Current | Accepting new patients |
| RCHP Billings - Missoula LLC | Current | Accepting new patients |
Locations
6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657
2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850
2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333
335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111
1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
3181 SW Sam Jackson Park Rd
#67
Portland, OR 97239
Phone (503) 494-1620
211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164
1460 G St
Springfield, OR 97477
Phone (541) 431-0665
3333 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3154
Interoperability endpoints
- jpak062@yourcarecommunity.org
- jpak1586289@nychhc.direct-ci.com
- jpakmd768@direct.ohsu.edu
Organizations & group practices 11
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.
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1407353006
-
- General Practice Physician
- Portland, OR
- NPI 1376709535
-
- Critical Care Medicine (Internal Medicine) Physician
- Missoula, MT
- NPI 1841925203
-
dba Community Physician Group
- Family Medicine Physician
- Missoula, MT
- NPI 1376946913
-
- Critical Care Medicine (Internal Medicine) Physician
- Spokane, WA
- NPI 1528582699
OR
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1073929782
-
dba Community Physician Group
- Medical Oncology Physician
- Missoula, MT
- NPI 1891164125
-
dba Hillsboro Medical Center Neurology Clinic
- Neurology Physician
- Hillsboro, OR
- NPI 1639690704
-
dba OHSU Home Infusion Pharmacy
- Pharmacy
- Beaverton, OR
- NPI 1073054714
-
dba Child Development & Rehabilitation Center in Portland
- Multi-Specialty Clinic/Center
- Portland, OR
- NPI 1073767588
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba McKenzie-Willamette Medical Center
- General Acute Care Hospital
- Springfield, OR
- NPI 1568413573
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1467657056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"address_2": "MAIL CODE UHN67",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "206-369-4424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 N LA CHOLLA BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857413529",
"telephone_number": "520-742-9000"
}
],
"practiceLocations": [
{
"address_1": "3181 SW Sam Jackson Park Rd",
"address_2": "Mail Code UHN67",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972393011",
"country_code": "US",
"telephone_number": "503-494-8211",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 NE Mother Joseph Pl Ste 330",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986643288",
"country_code": "US",
"telephone_number": "360-514-2990",
"fax_number": "360-514-3508",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAK",
"first_name": "JONATHAN",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-15",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "AZ",
"license": "71961",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "WA",
"license": "MD61099515",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "OR",
"license": "MD153593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.