Nisha Baliga
Individual provider Active NPI Pediatrics Physician · Beaverton, OR
NPI 1508399817 · NPPES record last updated Jan 21, 2026
Key facts
- NPI
- 1508399817
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD198770 (OR)
- Practice address
- 15455 NW Greenbrier Pkwy Ste 111
Beaverton, OR 97006-7357 - Phone
- (503) 531-3434
- NPI assigned
- Apr 5, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171129003291 | OR | Order and Referring Only - Pediatric Medicine |
1052678075 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD198770 | OR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Pediatrics, LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- nbaliga206324@direct.lhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD198770 | OR | Yes |
Addresses
Primary practice location
15455 NW Greenbrier Pkwy Ste 111
Beaverton, OR 97006-7357
Mailing address
15455 NW Greenbrier Pkwy Ste 111
Beaverton, OR 97006-7357
Phone (503) 531-3434
Other providers in Beaverton, OR
- Maurica Bailey
- Melissa Bain
- Jessica Baker
- Jordianne Orallo Balan
- Balance NW Chiropractic & Massage, PC
- Karen A. Ball
- Traci Renee Ball
- Abigail Ballaban
- Cenica L Ballantyne
- Andrew Martin Ballard
All providers in Beaverton, OR · Pediatrics Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.