NPIMap

Individual provider Active NPI

Vishal Khemlani, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Tualatin, OR
National Provider Identifier
1912346461
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD186805 Issued in OR
Practice address
6464 SW Borland Rd Ste A2
Tualatin, OR 97062-8854
Phone
(503) 885-1515
Fax
(503) 885-1520
NPI assigned
Jun 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X MD186805 OR
Pain Medicine (Anesthesiology) Physician 207LP2900X MD186805 OR Primary

Addresses

Primary practice location

6464 SW Borland Rd Ste A2
Tualatin, OR 97062-8854

Mailing address

6464 SW Borland Rd Ste A2
Tualatin, OR 97062-8854
Phone (503) 885-1515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180713002099 OR Practitioner - Physical Medicine and RehabilitationPractitioner - Anesthesiology 6103126263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Anesthesiology
Education
Oregon Health Sciences University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Columbia Pain Management, Inc.Group PAC ID 2062595796, 16 clinicians

Practice addresses (Care Compare)

6542 SE Lake Rd
Suite 101
Milwaukie, OR 97222-2245
Phone (541) 386-9500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.97 of 100Reported as group
Quality
100
Improvement activities
40
Cost
64.16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Pain Management, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Columbia Pain Management, LLC Past Accepting new patients

Locations

1010 10th St
Hood River, OR 97031
Phone (541) 386-9500

2149 Cascade Ave
Ste 106A
Hood River, OR 97031
Phone (541) 645-3505

6542 SE Lake Rd
Ste 101
Portland, OR 97222
Phone (503) 387-5546

19255 SW 65th Ave
Ste 110
Tualatin, OR 97062
Phone (503) 208-9432

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.

Hospital & facility affiliations 6

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": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1912346461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6464 SW BORLAND RD STE A2",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628854",
            "telephone_number": "503-885-1515",
            "fax_number": "503-885-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6464 SW BORLAND RD STE A2",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628854",
            "telephone_number": "503-885-1515",
            "fax_number": "503-885-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHEMLANI",
        "first_name": "VISHAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-18",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OR",
            "license": "MD186805",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OR",
            "license": "MD186805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

Verify at the official NPI Registry.