Individual provider Active NPI

Anushka Shenoy, MD

  • Psychiatry Physician
  • Beaverton, OR
National Provider Identifier
1689008682
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD193676 Issued in OR
Practice address
15455 NW Greenbrier Pkwy
Suite #120
Beaverton, OR 97006-9700
Phone
(503) 476-1189
NPI assigned
Aug 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD193676 OR Primary

Addresses

Primary practice location

15455 NW Greenbrier Pkwy
Suite #120
Beaverton, OR 97006-9700

Mailing address

811 E Burnside St Ste 217
Portland, OR 97214-1231
Phone (503) 476-1189

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
I20211115002798 OR Practitioner - Psychiatry 3678845674 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Oregon Health Sciences University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Health Northwest LLCGroup PAC ID 0648668111, 3 clinicians

Practice addresses (Care Compare)

15455 NW Greenbrier Pkwy
Suite 120
Beaverton, OR 97006-8115
Phone (503) 476-1189

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Health Northwest LLC Psychiatry CurrentSince Jul 1, 2021 Accepting new patients
Lifeworks NW CurrentSince Oct 21, 2021 Accepting new patients

Locations

15455 NW Greenbrier Pkwy
Ste 120
Beaverton, OR 97006
Phone (503) 476-1189

5240 NE Elam Young Pkwy
Ste 700
Hillsboro, OR 97124

971 SW Walnut St
Hillsboro, OR 97123
Phone (503) 640-5297

5415 SW Westgate Dr
Ste 100
Portland, OR 97221

811 E Burnside St
Ste 217
Portland, OR 97214
Phone (503) 432-3268

5415 SW Westgate Dr
Portland, OR 97221
Phone (503) 645-9010

Interoperability endpoints

  • FHIR API: https://ehr.charmtracker.com/api/ehr/v1/fhir

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": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1689008682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E BURNSIDE ST STE 217",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141231",
            "telephone_number": "503-476-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15455 NW GREENBRIER PKWY",
            "address_2": "SUITE #120",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970069700",
            "telephone_number": "503-476-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENOY",
        "first_name": "ANUSHKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2023-11-15",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD193676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.