Individual provider Active NPI

Sonal B. Dave, M.D.

  • Ophthalmology Physician
  • Portland, OR
National Provider Identifier
1669516746
Registry record updated Feb 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD28150 Issued in OR
Practice address
1955 N.W. Northrup
Portland, OR 97209-1614
Phone
(503) 227-2020
Fax
(503) 222-0614
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 6565407 UT
Ophthalmology Physician 207W00000X TRN 8032 FL
Ophthalmology Physician 207W00000X MD28150 OR Primary

Addresses

Primary practice location

1955 N.W. Northrup
Portland, OR 97209-1614

Mailing address

PO Box 22009
Portland, OR 97269-2009
Phone (503) 558-7372

Other identifiers 1

IdentifierTypeStateIssuer
279153MedicaidOR

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
I20080630000679 OR Practitioner - Ophthalmology 2264523067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Iowa, RJ & L Carver College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Health Northwest PCGroup PAC ID 9234039926, 72 clinicians

Practice addresses (Care Compare)

11086 SE Oak St
Milwaukie, OR 97222-6692
Phone (503) 656-4221

1955 NW Northrup St
Portland, OR 97209-1614
Phone (503) 227-2020

Merit-based Incentive Payment System (MIPS)

Final score
88.74 of 100Reported as group
Quality
85.23
Promoting interoperability
100
Improvement activities
40
Cost
77.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery144

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN 8032FLMDOphthalmology Physician
6565407UTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Health Northwest, PC Ophthalmology CurrentSince Aug 11, 2008 Accepting new patients
Eye Health Northwest P.C. Ophthalmology CurrentSince Aug 11, 2008 Accepting new patients

Locations

9555 SW Barnes Rd
Ste 100
Portland, OR 97225
Phone (503) 227-2020

1955 NW Northrup St
Portland, OR 97209
Phone (503) 227-2020

11086 SE Oak St
Portland, OR 97222
Phone (503) 557-2020

Interoperability endpoints

  • Direct secure messaging: sonal.dave@direct.ehnpc.nextgenshare.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613779200000",
    "number": "1669516746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22009",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972692009",
            "telephone_number": "503-558-7372",
            "fax_number": "503-344-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 N.W. NORTHRUP",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091614",
            "telephone_number": "503-227-2020",
            "fax_number": "503-222-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "SONAL",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2021-02-20",
        "certification_date": "2021-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "6565407",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "TRN 8032",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD28150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279153",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.