Active NPI
Shushan R Rana, MD
- Radiation Oncology Physician
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD60946976
- Practice address
- 8821 NE 5TH St
Vancouver, WA 98664 - Phone
- (360) 514-1900
- Fax
- (360) 514-1910
- NPI assigned
- Jun 3, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD60946976 | WA | Primary |
Addresses
Primary practice location
8821 NE 5TH St
Vancouver, WA 98664
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Phone (206) 520-5700
Other practice location 1
5050 NE Hoyt St
Suite 540
Portland, OR 97213-2991
Phone (503) 215-6600
Other practice location 2
3181 SW Sam Jackson Rd
Mail Code: KPV4
Portland, OR 97239-3098
Phone (503) 464-8756
Other practice location 3
825 Eastlake Ave E
Seattle, WA 98109
Phone (206) 520-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487091260 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- 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
- Radiation Oncology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1615 Delaware St
Longview, WA 98632-2367
Phone (360) 636-4814
505 NE 87TH Ave
Vancouver, WA 98664-1965
8821 NE 5TH St
Vancouver, WA 98664-3200
Phone (360) 514-1900
Hospital & facility affiliations
- Peacehealth Southwest Medical Cente
- Peacehealth St John Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60946976 | WA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Tuality Medical Group LLC | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Tuality Medical Group LLC | Current | Accepting new patients | |
| Peacehealth | Past | Accepting new patients | |
| University Professional Services | Past | Accepting new patients | |
| Southwest Washington Medical Center | Past | Accepting new patients | |
| Peacehealth | Past | Accepting new patients |
Locations
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818
1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100
505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854
1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253
Interoperability endpoints
- sranamd78141@direct.ohsu.edu
- srana440068@direct.peacehealth.org
Organizations & group practices 10
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.
-
- Surgery Physician
- Vancouver, WA
- NPI 1609061969
-
- Multi-Specialty Clinic/Center
- Longview, WA
- NPI 1720056187
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1073929782
-
- General Practice Physician
- Portland, OR
- NPI 1376709535
-
- Neurology Physician
- Hillsboro, OR
- NPI 1639690704
-
- Pharmacy
- Beaverton, OR
- NPI 1073054714
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
-
- Physical Therapist
- Longview, WA
- NPI 1275501538
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1891785903
-
- Pediatrics Physician
- Medford, OR
- NPI 1225282122
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longview, WA
- NPI 1073510277
-
- 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": "1370217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591056000000",
"number": "1487091260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50095",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981455095",
"telephone_number": "206-520-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8821 NE 5TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98664",
"telephone_number": "360-514-1900",
"fax_number": "360-514-1910"
}
],
"practiceLocations": [
{
"address_1": "5050 NE Hoyt St",
"address_2": "SUITE 540",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972132991",
"country_code": "US",
"telephone_number": "503-215-6600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3181 SW Sam Jackson Rd",
"address_2": "Mail Code: KPV4",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972393098",
"country_code": "US",
"telephone_number": "503-464-8756",
"fax_number": "503-346-0237",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "825 Eastlake Ave E",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "98109",
"country_code": "US",
"telephone_number": "206-520-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANA",
"first_name": "SHUSHAN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-03",
"last_updated": "2020-06-02",
"certification_date": "2020-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "WA",
"license": "MD60946976",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1487091260",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.