Dr Sidhartha Tavri, MD | |
3181 Sw Sam Jackson Park Rd Fl 2, Portland, OR 97239-3011 | |
(503) 494-7660 | |
(503) 494-4258 |
Full Name | Dr Sidhartha Tavri |
---|---|
Gender | Male |
Speciality | Interventional Radiology |
Experience | 18 Years |
Location | 3181 Sw Sam Jackson Park Rd Fl 2, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851566269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 35.126824 (Ohio) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | MD206332 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy Good Samaritan Medical Center | Portland, OR | Hospital |
Legacy Emanuel Medical Center | Portland, OR | Hospital |
Ohsu Hospital And Clinics | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Good Samaritan Hospital And Medical Center | 0547179939 | 137 |
Legacy Mount Hood Medical Center | 3173515996 | 55 |
Legacy Emanuel Hospital And Health Center | 4587573639 | 182 |
Oregon Health And Sciences University/university Medical Group | 4880760107 | 1479 |
Legacy Meridian Park Hospital | 5092609842 | 90 |
Entity Name | Legacy Good Samaritan Hospital And Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780608216 PECOS PAC ID: 0547179939 Enrollment ID: O20031125000416 |
Entity Name | Legacy Emanuel Hospital & Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831112358 PECOS PAC ID: 4587573639 Enrollment ID: O20040127001204 |
Entity Name | Legacy Meridian Park Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184647620 PECOS PAC ID: 5092609842 Enrollment ID: O20040211001181 |
Entity Name | Legacy Mount Hood Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386919132 PECOS PAC ID: 3173515996 Enrollment ID: O20040401000550 |
Entity Name | University Professional Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013 |
Mailing Address | Practice Location Address |
---|---|
Dr Sidhartha Tavri, MD 3181 Sw Sam Jackson Park Rd Fl 2, Portland, OR 97239-3011 Ph: (503) 494-7660 | Dr Sidhartha Tavri, MD 3181 Sw Sam Jackson Park Rd Fl 2, Portland, OR 97239-3011 Ph: (503) 494-7660 |
Gregory Hall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 Fax: 503-494-4982 | |
Deborah Janet Cohen, MD Radiology Medicare: Medicare Enrolled Practice Location: 3710 Sw Veterans Hospital Rd, Portland, OR 97239 Phone: 503-539-4903 | |
Erik W Foss, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-2570 | |
Hans Guenter Wandel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 | |
Steven Lloyd Primack, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 | |
Dr. James S Putnam, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-4830 Fax: 503-216-4850 | |
D. Bradley Koslin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 |