Smita Tomkoria, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD25275 Issued in OR

Practice address

9555 SW Barnes Rd
Ste 301
Portland, OR 97225

Phone

(503) 297-3371

Fax

(503) 297-7975

NPI assigned

Oct 21, 2005

Last updated

Jan 25, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stomkoria13966@direct.lhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Childrens Clinic PC

  • Pediatrics Physician
  • Portland, OR
  • NPI 1649219411
  Medicare reassignment NPD
• Childrens Clinic PC

  • Pediatrics Physician
  • Newberg, OR
  • NPI 1558806406
  NPD

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1609865625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 SW BARNES RD",
            "address_2": "STE 301",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97225",
            "telephone_number": "503-297-3371",
            "fax_number": "503-297-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SW BARNES RD",
            "address_2": "STE 301",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97225",
            "telephone_number": "503-297-3371",
            "fax_number": "503-297-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMKORIA",
        "first_name": "SMITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD25275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022794",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chaylea Tome
• Melissa Tomecek, QMHP
• Kaitlyn Tomic
• Marissa Tomilloso
• Tomin Basrai, Inc. (Paulsen's Pharmacy)
• Kathyleen M Tomlin, MS COUNSELING
• Kevin Tomlin, LPC
• Sarah Tomlin
• Alexander Tomlinson, MD
• Ana Federica Tomlinson

• Pediatrics Physician in Portland, OR
• Providers in Portland, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.

Verify at the official NPI Registry.