Active NPI
Tulika Agarwal Malhotra, PA-C
- Medical Physician Assistant
- Portland, OR
National Provider Identifier
1518319672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA187621
- Practice address
- 3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011 - Phone
- (503) 494-7551
- Fax
- (503) 494-4997
- NPI assigned
- Jul 12, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA187621 | OR | Primary |
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) 494-7551
Other practice location 1
1508 Division St Ste 15
Oregon City, OR 97045-1583
Phone (503) 692-3750
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2098843 | Medicaid | WA | |
| 500742405 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | referringgso@orclinic.direct-ci.net | Oregon Clinic PC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
335 SE 8TH Ave
Hillsboro, OR 97123-4246
Phone (503) 681-1111
Hospital & facility affiliations
- Hillsboro Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.11 of 100
- Quality
- 84.29
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA187621 | OR | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Gastroenterology | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Tuality Medical Group LLC | Current | Accepting new patients |
Locations
335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111
10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202
3250 SE 164th Ave
Ste 205
Vancouver, WA 98683
Phone (360) 946-4313
2415 NE 134th St
Ste 205
Vancouver, WA 98686
Phone (360) 576-5060
Interoperability endpoints
- tmalhotra151352@direct.ohsu.edu
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1073929782
-
- General Acute Care Hospital
- Milwaukie, OR
- NPI 1366536963
-
- Gastroenterology Physician
- Vancouver, WA
- NPI 1003992090
-
- Clinical Pathology Physician
- Milwaukie, OR
- NPI 1578014239
-
- Neurology Physician
- Hillsboro, OR
- NPI 1639690704
-
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1962706655
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital
- Hillsboro, OR
- NPI 1073817714
-
- General Acute Care Hospital
- Hillsboro, OR
- NPI 1275591984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672099200000",
"number": "1518319672",
"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": "503-494-7551",
"fax_number": "503-494-4997"
},
{
"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": "503-494-7551",
"fax_number": "503-494-4997"
}
],
"practiceLocations": [
{
"address_1": "1508 Division St Ste 15",
"address_purpose": "LOCATION",
"city": "Oregon City",
"state": "OR",
"postal_code": "970451583",
"country_code": "US",
"telephone_number": "503-692-3750",
"fax_number": "503-691-2324",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALHOTRA",
"first_name": "TULIKA",
"middle_name": "AGARWAL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-12",
"last_updated": "2022-12-27",
"certification_date": "2022-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OR",
"license": "PA187621",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2098843",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500742405",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "referringgso@orclinic.direct-ci.net",
"affiliation": "Y",
"affiliationName": "Oregon Clinic PC",
"address_1": "1508 Division St Ste 15",
"city": "Oregon City",
"state": "OR",
"country_code": "US",
"postal_code": "970451583",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 27, 2022; 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.