Dr Sajal C Dutta, MD in Portland, OR

Dr Sajal C Dutta, MD is a medicare enrolled "Urology" physician in Portland, Oregon. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Urology. He is a member of the group practice The Oregon Clinic, Pc and his current practice location is 501 N Graham St, Ste 420, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 288-7303.

Dr Sajal C Dutta is licensed to practice in Oregon (license number MD23632) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528055548.

Contact Information

	Dr Sajal C Dutta, MD
	501 N Graham St, Ste 420, Portland, OR 97227-2006
	(503) 288-7303
	(503) 288-3806

Map and Direction

Physician's Profile

Full Name	Dr Sajal C Dutta
Gender	Male
Speciality	Urology
Experience	28 Years
Location	501 N Graham St, Portland, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Sajal C Dutta graduated from medical school in 1996

NPI Data:

NPI Number: 1528055548
Provider Enumeration Date: 10/04/2005
Last Update Date: 12/05/2023

Medicare PECOS Information:

PECOS PAC ID: 2365507654
Enrollment ID: I20090220000280

Medical Identifiers

Medical identifiers for Dr Sajal C Dutta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528055548	NPI	-	NPPES
286467	Medicaid	OR
8383143	Medicaid	WA
2147140	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	MD23632 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Legacy Emanuel Medical Center	Portland, OR	Hospital
Legacy Good Samaritan Medical Center	Portland, OR	Hospital
Adventist Health Portland	Portland, OR	Hospital
Providence Portland Medical Center	Portland, OR	Hospital
Legacy Meridian Park Medical Center	Tualatin, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Oregon Clinic, Pc	2860390408	313

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sajal C Dutta allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626

Entity Name	The Oregon Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265417174 PECOS PAC ID: 2860390408 Enrollment ID: O20031222000096

Entity Name	Ts Billings Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497776488 PECOS PAC ID: 0143201954 Enrollment ID: O20040527000506

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sajal C Dutta is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Sajal C Dutta, MD 541 Ne 20th Ave Ste 225, Portland, OR 97232-2895 Ph: (503) 963-2801	Dr Sajal C Dutta, MD 501 N Graham St, Ste 420, Portland, OR 97227-2006 Ph: (503) 288-7303

Reviews and Comments

Urology Doctors in Portland, OR

Donald Andrew Young Iii, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 5050 Ne Hoyt St, Suite 514, Portland, OR 97213 Phone: 503-488-2323 Fax: 503-488-2340
Dr. James Christopher Austin, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Pediatric Urology Cdw-6, Portland, OR 97239 Phone: 503-494-4808 Fax: 503-494-4743
Lauren Lamina, Urology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311
Dr. Jin-hee Kim, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 10000 Se Main St, Ste 342, Portland, OR 97216 Phone: 503-255-5244 Fax: 503-255-5120
Berhane Mebratu, NP Urology Medicare: Medicare Enrolled Practice Location: 9495 Sw Locust St Ste G, Portland, OR 97223 Phone: 559-321-2800 Fax: 559-321-2780
Michael Joseph Conlin, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 3303 Sw Bond Ave, Ch10u, Portland, OR 97239 Phone: 503-494-4779 Fax: 503-494-8671
Dr. James M Keane, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 9155 Sw Barnes Rd, Ste 422, Portland, OR 97225 Phone: 503-297-1078 Fax: 503-292-2176

Dr Sajal C Dutta, MD - Medicare Urology in Portland, OR