Active NPI
Veronika V Bibikova, PA-C
- Physician Assistant
- Tigard, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA179429
- Practice address
- 18040 SW Lower Boones Ferry Rd Ste 100
Tigard, OR 97224-7259 - Phone
- (503) 216-0700
- NPI assigned
- Jun 16, 2015
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA179429 | OR | Primary |
Addresses
Primary practice location
18040 SW Lower Boones Ferry Rd Ste 100
Tigard, OR 97224-7259
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- 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
- Oregon Health Sciences University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10670 NE Cornell Rd
Hillsboro, OR 97124-9221
1321 NE 99TH Ave
Suite 100
Portland, OR 97220-9437
Phone (503) 215-9900
1321 NE 99TH Ave
Suite 200
Portland, OR 97220-9439
Phone (503) 215-4250
16770 SW Edy Rd
Suite 102
Sherwood, OR 97140-9679
Phone (503) 216-9600
200 S Hazel Dell Way
Canby, OR 97013-7829
Phone (203) 263-9500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA179429 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Clinics LLC | Current | Accepting new patients | |
| Icco, LLC | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Past | Accepting new patients |
Locations
200 S Hazel Dell Way
Canby, OR 97013
Phone (203) 263-9500
9290 SE Sunnybrook Blvd
Ste 210
Clackamas, OR 97015
Phone (503) 216-7960
598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473
2850 SE Powell Valley Rd
Gresham, OR 97080
Phone (503) 666-5050
5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
1321 NE 99th Ave
Ste 100
Portland, OR 97220
Phone (503) 215-4050
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480
960 N 16th St
Ste 304
Springfield, OR 97477
Phone (541) 744-6172
18040 SW Lower Boones Ferry Rd
Ste 100
Tigard, OR 97224
Phone (503) 216-0624
12442 SW Scholls Ferry Rd
Ste 100
Tigard, OR 97223
Phone (503) 215-9900
305 SE Chkalov Dr
Ste 170
Vancouver, WA 98683
Phone (360) 799-3912
200 NE Mother Joseph Pl
Ste 410
Vancouver, WA 98664
Phone (503) 413-3580
Interoperability endpoints
- vbibikova587189@oc.providencedirect.org
- vbibikov@yourcarecommunity.org
Organizations & group practices 7
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.
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- Urgent Care Clinic/Center
- Eugene, OR
- NPI 1407004757
-
- Family Medicine Physician
- Veneta, OR
- NPI 1518990621
-
- Neurology with Special Qualifications in Child Neurology Physician
- Portland, OR
- NPI 1316125149
-
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
-
- Internal Medicine Physician
- Sherwood, OR
- NPI 1184729329
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1689055618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158",
"telephone_number": "503-215-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18040 SW LOWER BOONES FERRY RD STE 100",
"city": "TIGARD",
"state": "OR",
"postal_code": "972247259",
"telephone_number": "503-216-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIBIKOVA",
"first_name": "VERONIKA",
"middle_name": "V",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-16",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA179429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.