Active NPI
Sahar Rosenbaum, MD
- Radiation Oncology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD183659
- Practice address
- 3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011 - Phone
- (503) 494-8756
- Fax
- (503) 346-0237
- NPI assigned
- Dec 2, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD183659 | OR | Primary |
| Radiation Oncology Physician | 2085R0001X | 049251 | GA |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8756
Other practice location 1
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 851-8000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000911336D | Medicaid | GA | |
| 00911336A | Medicaid | GA | |
| 000911336L | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049251 | GA | MD | Radiation Oncology Physician |
| MD183659 | OR | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Atlanta Professional Services LLC | Radiation Oncology | Current | Accepting new patients |
| Columbia Lutheran Charities | Past | Accepting new patients | |
| Frank a Critz,MD | Past | Accepting new patients | |
| Radiotherapy Clinics of Georgia,LLC | Past | Accepting new patients | |
| Columbia Lutheran Charities | Past | Accepting new patients |
Locations
1293 Wellbrook Cir NE
Conyers, GA 30012
Phone (770) 682-2099
2349 Lawrenceville Hwy
Decatur, GA 30033
Phone (404) 320-1550
311 Philip Blvd
Lawrenceville, GA 30046
Phone (770) 945-3000
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
Organizations & group practices 5
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.
-
- Community Based Hospice Care Agency
- Astoria, OR
- NPI 1023038858
-
- Critical Access Hospital
- Astoria, OR
- NPI 1932814704
-
- Specialist
- Decatur, GA
- NPI 1235184177
-
- Specialist
- Decatur, GA
- NPI 1851449540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1477537512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-8756",
"fax_number": "503-346-0237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-8756",
"fax_number": "503-346-0237"
}
],
"practiceLocations": [
{
"address_1": "1000 Johnson Ferry Rd",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303421606",
"country_code": "US",
"telephone_number": "404-851-8000",
"fax_number": "404-851-6325",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSENBAUM",
"first_name": "SAHAR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-02",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "OR",
"license": "MD183659",
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "GA",
"license": "049251",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000911336D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00911336A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000911336L",
"state": "GA"
}
],
"endpoints": [],
"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 Mar 17, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.