Individual provider Active NPI

Sheldon R Cober, MD

  • Plastic and Reconstructive Surgery Physician
  • Portland, OR
National Provider Identifier
1649353525
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
MD22413 Issued in OR
Practice address
11790 SW Barnes Rd Ste 120
Portland, OR 97225-5938
Phone
(503) 297-2940
Fax
(503) 200-5449
NPI assigned
Oct 23, 2006
Last updated
Oct 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 22413 OR
Plastic and Reconstructive Surgery Physician 2086S0122X MD22413 OR Primary

Addresses

Primary practice location

11790 SW Barnes Rd Ste 120
Portland, OR 97225-5938

Mailing address

11790 SW Barnes Rd Ste 120
Portland, OR 97225-5938
Phone (503) 297-2940

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091005000002 OR Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 9133276363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Temple University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11790 SW Barnes Rd
Suite 120
Portland, OR 97225-5938
Phone (503) 297-9340

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy19
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22413ORMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
JRN Lake O PC CurrentSince Mar 19, 2023 Accepting new patients
Tanasbourne Plastic Surgery PC Plastic Surgery CurrentSince Apr 15, 2003 Accepting new patients

Locations

10690 NE Cornell Rd
Ste 324
Hillsboro, OR 97124
Phone (503) 297-9340

11790 SW Barnes Rd
Ste 120
Portland, OR 97225
Phone (503) 297-9340

9155 SW Barnes Rd
Ste 930
Portland, OR 97225
Phone (503) 297-1515

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2633/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sheldon.cober.1@2633.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1649353525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11790 SW BARNES RD STE 120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255938",
            "telephone_number": "503-297-2940",
            "fax_number": "503-200-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11790 SW BARNES RD STE 120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255938",
            "telephone_number": "503-297-2940",
            "fax_number": "503-200-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBER",
        "first_name": "SHELDON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "22413",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OR",
            "license": "MD22413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.