NPIMap

Individual provider Active NPI

Hem A Deodhar, MD

  • Nephrology Physician
  • Portland, OR
National Provider Identifier
1497723555
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD21331 Issued in OR
Practice address
1130 NW 22ND Avenue, Ste 640
Portland, OR 97210-2993
Phone
(503) 229-7976
Fax
(503) 274-4867
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD21331 OR Primary
Nephrology Physician 207RN0300X MD60043236 WA

Addresses

Primary practice location

1130 NW 22ND Avenue, Ste 640
Portland, OR 97210-2993

Mailing address

PO Box 3068
Portland, OR 97208-3068
Phone (503) 229-7976

Other practice location 1

9701 SW Barnes Rd Ste 110
Portland, OR 97225-6774
Phone (503) 595-6675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060127000201 OR Practitioner - Nephrology 3274547351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Renal Clinic IncGroup PAC ID 8628065836, 39 clinicians

Practice addresses (Care Compare)

1130 NW 22ND Ave
Suite 640
Portland, OR 97210-2993
Phone (503) 229-7976

Hospital & facility affiliations

  • Ray Yasui Dialysis Center Dialysis facility, Hood River, OR, CCN 382310
  • FMC Scholls Ferry Dialysis facility, Portland, OR, CCN 382568
  • Fresenius Kidney Care Rose Quarter Dialysis facility, Portland, OR, CCN 382522
  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009
  • Legacy Emanuel Medical Center Hospital, Portland, OR, CCN 380007
  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017
  • Providence Portland Medical Center Hospital, Portland, OR, CCN 380061
  • Mid-Columbia Medical Center Hospital, The Dalles, OR, CCN 380001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD21331ORMDNephrology Physician
MD60043236WAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Renal Clinic, Inc. Nephrology Current Accepting new patients
Northwest Renal Clinic, Inc. Nephrology CurrentSince Aug 1, 1999 Accepting new patients
Northwest Renal Clinic, Inc. Nephrology CurrentSince Aug 1, 1999 Accepting new patients
Northwest Renal Clinic, Inc. Nephrology Past Accepting new patients

Locations

9701 SW Barnes Rd
Ste 110
Portland, OR 97225
Phone (503) 595-6675

1130 NW 22nd Ave
Ste 640
Portland, OR 97210
Phone (503) 229-7976

Interoperability endpoints

  • Direct secure messaging: hdeodhar37089@direct.acumenmd.com

Organizations & group practices 4

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1497723555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3068",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083068",
            "telephone_number": "503-229-7976",
            "fax_number": "503-274-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 NW 22ND AVENUE, STE 640",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102993",
            "telephone_number": "503-229-7976",
            "fax_number": "503-274-4867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9701 SW Barnes Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972256774",
            "country_code": "US",
            "telephone_number": "503-595-6675",
            "fax_number": "503-595-6679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEODHAR",
        "first_name": "HEM",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OR",
            "license": "MD21331",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD60043236",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.