Organization Active NPI

Pain Management Consultants, PC

  • Specialist
  • Tigard, OR
National Provider Identifier
1861692808
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PAIN MANAGEMENT CONSULTANTS, PC
Practice address
9735 SW Shady LN Ste 100
Tigard, OR 97223-5481
Phone
(503) 292-7005
Fax
(503) 292-9058
NPI assigned
Jul 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Navnit Kaur Jayaram, M.D,NPI 1245325893
Title
Owner
Phone
(503) 292-7005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

9735 SW Shady LN Ste 100
Tigard, OR 97223-5481

Mailing address

9735 SW Shady LN Ste 100
Tigard, OR 97223-5481
Phone (503) 292-7005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040817000545 OR Part B Supplier - Clinic/Group Practice 8325011497 Receives reassigned benefits from 5 practitioners
Practice locations: Portland, OR; Tigard, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D1083462Pain Management Consultants9735 SW Shady Lane Suite 100, Tigard, OR 97223Certificate of waiverJan 3, 2028

National Provider Directory

National Provider Directory

Locations

120 N Everest St
Ste C
Newberg, OR 97132
Phone (503) 292-7005

310 N Villa Rd
Ste 106
Newberg, OR 97132
Phone (503) 292-7005

9155 SW Barnes Rd
Ste 530
Portland, OR 97225

9735 SW Shady Ln
Ste 100
Tigard, OR 97223
Phone (503) 292-7005

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1861692808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 SW SHADY LN STE 100",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235481",
            "telephone_number": "503-292-7005",
            "fax_number": "503-292-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 SW SHADY LN STE 100",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235481",
            "telephone_number": "503-292-7005",
            "fax_number": "503-292-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "KAUR JAYARAM",
        "authorized_official_first_name": "NAVNIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-292-7005",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "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 Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.