Individual provider Active NPI

Vaniza Naveed, MD

  • Pediatrics Physician
  • Portland, OR
National Provider Identifier
1699297622
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD196053 Issued in OR
Practice address
6924 NE Sandy Blvd
Portland, OR 97213-5256
Phone
(503) 300-4111
Fax
(503) 954-2122
NPI assigned
Jul 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD196053 OR Primary

Addresses

Primary practice location

6924 NE Sandy Blvd
Portland, OR 97213-5256

Mailing address

6924 NE Sandy Blvd
Portland, OR 97213-5256
Phone (503) 300-4111

Other practice location 1

7215 SE Milwaukie Avenue
Portland, OR 97202-6103
Phone (503) 300-4111

Other practice location 2

2935 SW Cedar Hills Blvd
Ste 100
Beaverton, OR 97005-6103
Phone (503) 300-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20171007000095 LA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9335414929

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD196053ORMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Crest Childrens Urgent Care LLC Pediatrics CurrentSince Mar 3, 2024 Accepting new patients
University Healthcare System, L.C. Past Accepting new patients

Locations

2935 SW Cedar Hills Blvd
Ste 100
Beaverton, OR 97005
Phone (503) 300-4111

6924 NE Sandy Blvd
Portland, OR 97213
Phone (503) 300-4111

7215 SE Milwaukie Ave
Portland, OR 97202
Phone (503) 300-4111

Interoperability endpoints

  • Direct secure messaging: vaniza.naveed.1@3083.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1699297622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6924 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972135256",
            "telephone_number": "503-300-4111",
            "fax_number": "503-954-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6924 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972135256",
            "telephone_number": "503-300-4111",
            "fax_number": "503-954-2122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7215 SE Milwaukie Avenue",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972026103",
            "country_code": "US",
            "telephone_number": "503-300-4111",
            "fax_number": "503-954-2122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2935 SW Cedar Hills Blvd",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970056103",
            "country_code": "US",
            "telephone_number": "503-300-4111",
            "fax_number": "503-954-2122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAVEED",
        "first_name": "VANIZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD196053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.