Individual provider Active NPI

Guljit S Sodhi, MD

  • Family Medicine Physician
  • Sherwood, OR
National Provider Identifier
1871619213
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD155569 Issued in OR
Practice address
16770 SW Edy Rd
Suite 102
Sherwood, OR 97140-9679
Phone
(503) 216-9600
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60521773 WA
Family Medicine Physician 207Q00000X MD155569 OR Primary

Addresses

Primary practice location

16770 SW Edy Rd
Suite 102
Sherwood, OR 97140-9679

Mailing address

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

Other practice location 1

9330 NE Vancouver Mall Dr Ste 100
Vancouver, WA 98662-8209
Phone (360) 729-8510

Other practice location 2

16811 SE McGillivray Blvd
Vancouver, WA 98683-3404
Phone (360) 750-3230

Other practice location 3

315 SE Stonemill Dr
Vancouver, WA 98684-6998
Phone (360) 729-8020

Other identifiers 2

IdentifierTypeStateIssuer
500641866MedicaidOR
12818OtherNVMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120828000539 OR Practitioner - Family Practice 2961558374 Reassigns benefits to 2 organizations
I20190717001019 WA Practitioner - Family PracticePractitioner - Orthopedic Surgery 2961558374 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PeacehealthGroup PAC ID 8820178288, 245 clinicians

Practice addresses (Care Compare)

16811 SE McGillivray Blvd
Vancouver, WA 98683-3404
Phone (360) 735-8100

505 NE 87TH Ave
Vancouver, WA 98664-1965

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uptown Providers PC CurrentSince Aug 1, 2022 Accepting new patients
Uptown Providers PC CurrentSince Aug 1, 2022 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jan 17, 2014 Accepting new patients
Uptown Providers PC Current Accepting new patients
Kaiser Foundation Health Plan of the Northwest Family Medicine CurrentSince May 6, 2019 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Family Medicine CurrentSince Jan 17, 2014 Accepting new patients
Peacehealth CurrentSince Apr 21, 2025 Accepting new patients
Southwest Washington Medical Center Past Accepting new patients
Uptown Providers PC Past Accepting new patients

Locations

14278 SW Allen Blvd
Beaverton, OR 97005

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

25 NW 23rd Pl
Ste 11
Portland, OR 97210
Phone (503) 766-2215

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

11675 SW Pacific Hwy
Tigard, OR 97223

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

9330 NE Vancouver Mall Dr
Ste 100
Vancouver, WA 98662
Phone (360) 729-8510

1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100

315 SE Stonemill Dr
Vancouver, WA 98684
Phone (360) 729-8020

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854

16811 SE McGillivray Blvd
Vancouver, WA 98683
Phone (360) 514-4900

Organizations & group practices 9

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 2

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1871619213",
    "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",
            "fax_number": "503-215-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16770 SW EDY RD",
            "address_2": "SUITE 102",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409679",
            "telephone_number": "503-216-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9330 NE Vancouver Mall Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986628209",
            "country_code": "US",
            "telephone_number": "360-729-8510",
            "fax_number": "360-729-3079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16811 SE McGillivray Blvd",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986833404",
            "country_code": "US",
            "telephone_number": "360-750-3230",
            "fax_number": "360-750-3239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 SE Stonemill Dr",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986846998",
            "country_code": "US",
            "telephone_number": "360-729-8020",
            "fax_number": "360-729-8021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SODHI",
        "first_name": "GULJIT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60521773",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD155569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500641866",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "12818",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, OR

Sources for this page

Verify at the official NPI Registry.