Individual provider Active NPI

Sayali D Kulkarni, FNP

  • Family Nurse Practitioner
  • Lake Oswego, OR
National Provider Identifier
1821647140
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201907742NP-PP Issued in OR
Practice address
4004 Kruse Way PL Ste 300
Lake Oswego, OR 97035-2479
Phone
(503) 216-1500
NPI assigned
Sep 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201907742NP-PP OR Primary

Addresses

Primary practice location

4004 Kruse Way PL Ste 300
Lake Oswego, OR 97035-2479

Mailing address

PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494

Other practice location 1

9000 N Lombard St
Portland, OR 97203-3006
Phone (503) 988-5558

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sayali.kulkarni@multco.us

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200616001571 OR Practitioner - Nurse Practitioner 0143642314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

15640 NW Laidlaw Rd
Suite 102
Portland, OR 97229-3828
Phone (503) 764-0100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince Jan 1, 2022 Accepting new patients
Multnomah County CurrentSince Mar 1, 2020 Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 1, 2022 Accepting new patients
Multnomah County Current Accepting new patients
Multnomah County CurrentSince Mar 1, 2020 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients

Locations

600 NE 8th St
Gresham, OR 97030
Phone (503) 988-4900

4004 Kruse Way Pl
Ste 300
Lake Oswego, OR 97035
Phone (503) 216-1500

9000 N Lombard St
Portland, OR 97203
Phone (503) 988-5304

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

209 SW 4th Ave
Ste 210
Portland, OR 97204
Phone (503) 988-3674

15640 NW Laidlaw Rd
Ste 102
Portland, OR 97229
Phone (503) 764-0100

619 NW 6th Ave
Fl 5
Portland, OR 97209
Phone (503) 988-3674

10330 SE 32nd Ave
Ste 205
Portland, OR 97222
Phone (503) 513-8950

619 NW 6th Ave
Fl 5H
Portland, OR 97209

5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405

Organizations & group practices 6

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 1

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": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1821647140",
    "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": "4004 KRUSE WAY PL STE 300",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970352479",
            "telephone_number": "503-216-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 N Lombard St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972033006",
            "country_code": "US",
            "telephone_number": "503-988-5558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULKARNI",
        "first_name": "SAYALI",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201907742NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sayali.kulkarni@multco.us",
            "affiliation": "N",
            "address_1": "9000 N Lombard St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972033006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

Verify at the official NPI Registry.